Organization Active NPI

Kelandy LLC

Doing business as Novawolves Solutions

  • Non-emergency Medical Transport (VAN)
  • Portland, ME
National Provider Identifier
1770294795
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KELANDY LLC
Doing business as
Novawolves Solutions
Practice address
125 Grant St Apt 11
Portland, ME 04101-2163
Phone
(331) 442-9596
NPI assigned
Dec 9, 2022
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Kelvin Anderson Nkizayezu
Title
Ceo
Phone
(207) 776-0170

Specialties & licenses 1

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

Addresses

Primary practice location

125 Grant St Apt 11
Portland, ME 04101-2163

Mailing address

17 Wermuth Rd
South Portland, ME 04106-1817
Phone (207) 776-0170

Other identifiers 1

IdentifierTypeStateIssuer
1376254789OtherMEDRIVER

Other names 1

  • NOVAWOLVES SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1770294795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WERMUTH RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061817",
            "telephone_number": "207-776-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GRANT ST APT 11",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012163",
            "telephone_number": "331-442-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELANDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "NKIZAYEZU",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-776-0170"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER",
            "identifier": "1376254789",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVAWOLVES SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOVAWOLVES SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.