Shalom Run Non Emergency Medical Transport LLC

Primary specialty

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

Legal business name

SHALOM RUN NON EMERGENCY MEDICAL TRANSPORT LLC

Practice address

1212 W 3Rd St
Davenport, IA 52802-1369

Phone

(773) 724-9905

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Ndikumana Gile

Title

Owner

Phone

(773) 724-9905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1922727148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021369",
            "telephone_number": "773-724-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021369",
            "telephone_number": "773-724-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM RUN NON EMERGENCY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "GILE",
        "authorized_official_first_name": "NDIKUMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-724-9905"
    },
    "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 Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.