Individual provider Active NPI

Eyob W Abrha

  • Non-emergency Medical Transport (VAN)
  • Las Vegas, NV
National Provider Identifier
1861180150
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
NV20232765212 Issued in NV
Practice address
6074 Pirates Delight Ave
Las Vegas, NV 89139-6973
Phone
(702) 945-7474
NPI assigned
Apr 26, 2023
Last updated
May 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NV20232765212 NV Primary

Addresses

Primary practice location

6074 Pirates Delight Ave
Las Vegas, NV 89139-6973

Mailing address

6074 Pirates Delight Ave
Las Vegas, NV 89139-6973
Phone (702) 945-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NV20232765212NVMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Amen Medical Transportation LLC Non-Emergency Medical Transport (Van) CurrentSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1861180150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6074 PIRATES DELIGHT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396973",
            "telephone_number": "702-945-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6074 PIRATES DELIGHT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396973",
            "telephone_number": "702-945-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRHA",
        "first_name": "EYOB",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NV",
            "license": "NV20232765212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.