Bloomlake Transportation LLC

Primary specialty

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

Legal business name

BLOOMLAKE TRANSPORTATION LLC

Practice address

220 Robert St S Ste 204
Saint Paul, MN 55107-1692

Phone

(612) 479-2333

NPI assigned

Aug 23, 2025

Organization subpart

No

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

Authorized official

Name

Abdirisaq Ahmednasir Abdi

Title

Owner

Phone

(320) 282-7534

Specialties & licenses 1

Addresses

Other names 1

• Bloomlake transportation llc Doing business as

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1699653154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071692",
            "telephone_number": "612-479-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071692",
            "telephone_number": "612-479-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMLAKE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIRISAQ",
        "authorized_official_middle_name": "AHMEDNASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-282-7534"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomlake transportation llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Saint Paul, MN
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.