Divineroute Transportation LLC

Primary specialty

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

Legal business name

DIVINEROUTE TRANSPORTATION LLC

Practice address

1000 W 5TH St
Apt 1019
Tempe, AZ 85281

Phone

(502) 915-5421

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Kidus Atnafie

Title

Owner

Phone

(502) 915-5421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1881461002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 NORTH 7TH AVE",
            "address_2": "PMB 713",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 5TH ST",
            "address_2": "APT 1019",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "502-915-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINEROUTE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "ATNAFIE",
        "authorized_official_first_name": "KIDUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-915-5421"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tempe, AZ
• Providers in Tempe, 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 Dec 7, 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.