Freedom Transportation, LLC

Primary specialty

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

Legal business name

FREEDOM TRANSPORTATION, LLC

Practice address

17242 Horizon TRL SE
Prior Lake, MN 55372-3939

Phone

(612) 830-8301

NPI assigned

Feb 25, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori L Shea

Title

Owner

Phone

(612) 380-8301

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Shea

  • Driver
  • Prior Lake, MN
  • NPI 1932665403
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1710444997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17242 HORIZON TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723939",
            "telephone_number": "612-830-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17242 HORIZON TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723939",
            "telephone_number": "612-830-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-380-8301"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T010234994001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Real Estate Dev. Corp
• Cullen Fahey
• Fairview Clinics (Fairview Clinics-Prior Lake)
• Fairview Pharmacy Services LLC (Fairview Pharmacy Prior Lake)
• Neda Falak
• Suzannah Furber
• Deborah Genrick, DC
• Gentle Therapy Center LLC
• Laurah Wambui Githinji
• Shelby Lanae Gjelhaug, COTA

• Non-emergency Medical Transport (VAN) in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.