Active NPI
Kavkaz Transportation LLC
- Non-emergency Medical Transport (VAN)
- Saint Louis, MO
National Provider Identifier
1740621986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- LC1246482
- Legal business name
- KAVKAZ TRANSPORTATION LLC
- Practice address
- 9316 Eddie and Park Rd
Saint Louis, MO 63126-2832 - Phone
- (314) 629-0810
- NPI assigned
- Jul 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nodira Rizayeva
- Title
- President
- Phone
- (314) 629-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | LC1246482 | MO | Primary |
Addresses
Primary practice location
9316 Eddie and Park Rd
Saint Louis, MO 63126-2832
Mailing address
9316 Eddie and Park Rd
Saint Louis, MO 63126-2832
Phone (314) 629-0810
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1740621986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9316 EDDIE AND PARK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631262832",
"telephone_number": "314-629-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9316 EDDIE AND PARK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631262832",
"telephone_number": "314-629-0810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAVKAZ TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "RIZAYEVA",
"authorized_official_first_name": "NODIRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-629-0810",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MO",
"license": "LC1246482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.