Peace Trip LLC

Primary specialty

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

Legal business name

PEACE TRIP LLC

Practice address

10617 Wiley LN
Indianapolis, IN 46231-1045

Phone

(317) 373-4079

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Yosef Garedew

Title

Member

Phone

(317) 373-4079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1700667680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 WILEY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462311045",
            "telephone_number": "317-373-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 WILEY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462311045",
            "telephone_number": "317-373-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE TRIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "GAREDEW",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-373-4079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.