Mimshack Non-Emergency Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION

Practice address

1617 Golden Grove Dr
Mesquite, TX 75149-1860

Phone

(972) 513-3049

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Nyamanjiva

Title

Owner

Phone

(972) 513-3049

Specialties & licenses 1

Addresses

Other names 1

• MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION LLC Other name

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1689065039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 GOLDEN GROVE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491860",
            "telephone_number": "972-513-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 GOLDEN GROVE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491860",
            "telephone_number": "972-513-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "NYAMANJIVA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-513-3049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.