Organization Active NPI

Pine View Terrace, LLC Dba Dove Healthcare Transport

  • Non-emergency Medical Transport (VAN)
  • Eau Claire, WI
National Provider Identifier
1730553553
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PINE VIEW TERRACE, LLC DBA DOVE HEALTHCARE TRANSPORT
Practice address
1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone
(715) 552-1030
Fax
(715) 552-1033
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Kendall L Rosemeyer, NHA
Title
Administrator
Phone
(715) 552-1030

Specialties & licenses 1

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

Addresses

Primary practice location

1405 Truax Blvd
Eau Claire, WI 54703-1474

Mailing address

1405 Truax Blvd
Eau Claire, WI 54703-1474
Phone (715) 552-1030

Other identifiers 1

IdentifierTypeStateIssuer
100047491MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1730553553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 TRUAX BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031474",
            "telephone_number": "715-552-1030",
            "fax_number": "715-552-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TRUAX BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031474",
            "telephone_number": "715-552-1030",
            "fax_number": "715-552-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW TERRACE, LLC DBA DOVE HEALTHCARE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSEMEYER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-552-1030",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047491",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.