Provider Demographics
NPI:1952158305
Name:HEALTHWHEELS TRANSPORTATION LLC
Entity type:Organization
Organization Name:HEALTHWHEELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-465-6881
Mailing Address - Street 1:14201 DIAMOND PATH CT # 55124
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7770
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14201 DIAMOND PATH CT # 55124
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7770
Practice Address - Country:US
Practice Address - Phone:952-465-6881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)