Mimitom Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

MIMITOM TRANSPORTATION LLC

Practice address

1400 Little Elm TRL Unit 1307
Cedar Park, TX 78613-2864

Phone

(512) 762-0792

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Muluken Birkeneh

Title

Manager

Phone

(512) 762-0792

Specialties & licenses 3

Addresses

Other names 1

• MIMITOM TRANSPORTATION LLC Doing business as

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1760255384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LITTLE ELM TRL UNIT 1307",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132864",
            "telephone_number": "512-762-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LITTLE ELM TRL UNIT 1307",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132864",
            "telephone_number": "512-762-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMITOM TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "BIRKENEH",
        "authorized_official_first_name": "MULUKEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-762-0792"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMITOM TRANSPORTATION LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIMITOM TRANSPORTATION LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Miller, BCBA
• Laura Ann Miller, FNP
• Lindsey Miller
• Melissa B. Miller, MD
• Sara Marie Miller, LCSW
• Kyunghwan Min, DMD
• Mindful Purpose Therapy, PLLC
• Amanda Beth Ming Ulloa, DC
• Vanessa Tran Minnick, O.D.
• James Gordon Minto Jr., MSW, LCSW

• Secured Medical Transport (VAN) in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.