Organization Active NPI

Jimale Transit Service LLC

  • Non-emergency Medical Transport (VAN)
  • Fitchburg, WI
National Provider Identifier
1669138822
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JIMALE TRANSIT SERVICE LLC
Practice address
5154 Anton Dr Apt 310
Fitchburg, WI 53719-1730
Phone
(612) 999-0483
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ibrahim Jimale
Title
Owner
Phone
(612) 999-0483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5154 Anton Dr Apt 310
Fitchburg, WI 53719-1730

Mailing address

5154 Anton Dr Apt 310
Fitchburg, WI 53719-1730
Phone (612) 999-0483

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1669138822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 ANTON DR APT 310",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537191730",
            "telephone_number": "612-999-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 ANTON DR APT 310",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537191730",
            "telephone_number": "612-999-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMALE TRANSIT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "JIMALE",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-999-0483"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.