Organization Active NPI

Fast Care Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Chandler, AZ
National Provider Identifier
1861829285
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FAST CARE TRANSPORTATION LLC
Practice address
1724 W Loughlin Dr
Chandler, AZ 85224
Phone
(602) 518-2297
Fax
(480) 248-8631
NPI assigned
Sep 30, 2013
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Omer Elhiber Fadlalla
Title
Owner
Phone
(602) 518-2297

Specialties & licenses 1

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

Addresses

Primary practice location

1724 W Loughlin Dr
Chandler, AZ 85224

Mailing address

3001 W Indian School Rd
Suite 210
Phoenix, AZ 85017-4168
Phone (602) 554-8507

Other identifiers 1

IdentifierTypeStateIssuer
699135MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3001 W Indian School Rd
Ste 210
Phoenix, AZ 85017
Phone (952) 688-9960

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1861829285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W INDIAN SCHOOL RD",
            "address_2": "SUITE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174168",
            "telephone_number": "602-554-8507",
            "fax_number": "602-865-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W LOUGHLIN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "602-518-2297",
            "fax_number": "480-248-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST CARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "FADLALLA",
        "authorized_official_first_name": "OMER",
        "authorized_official_middle_name": "ELHIBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-518-2297"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699135",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.