Eagle Care Transportation LLC

Primary specialty

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

Legal business name

EAGLE CARE TRANSPORTATION LLC

Practice address

8530 Eagle Point Blvd # 157
Lake Elmo, MN 55042-8649

Phone

(651) 278-0916

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Temam Geletu

Title

Owner

Phone

(651) 278-0916

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1891521340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD # 157",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428649",
            "telephone_number": "651-278-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD # 157",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428649",
            "telephone_number": "651-278-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GELETU",
        "authorized_official_first_name": "TEMAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-278-0916"
    },
    "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 Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.