Behaylu T Nemomsa

Primary specialty

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

License

D09521035 Issued in AZ

Practice address

10022 W Hess St
Tolleson, AZ 85353-1235

Phone

(480) 685-6100

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1811686330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 W HESS ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531235",
            "telephone_number": "480-685-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 W HESS ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531235",
            "telephone_number": "480-685-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10022 W Hess St",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853531235",
            "country_code": "US",
            "telephone_number": "480-685-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMOMSA",
        "first_name": "BEHAYLU",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D09521035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.