KHOLBAS INC, DBA SORIBA.ORG TRANSPORTATION (NPI# 1700233616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700233616 |
Entity Type | Organization |
Organization Name | KHOLBAS INC, DBA SORIBA.ORG TRANSPORTATION |
Practice Address |
125 S 600 E Apt 3 Salt Lake City UT 84102-1939 |
Mailing Address |
Po Box 2172 Salt Lake City UT 84110-2172 |
Practice Telephone | 8002019181 |
Mailing Telephone | 8002019181 |
Enumeration Date | 2016-05-20 |
Last Update Date | 2016-05-20 |
Authorized Official Name | MR. IBRAHIMA SORIBA BANGOURA (PRESIDENT) |
Authorized Official Telephone | 2062932275 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | LIC2015-00931 | UT | Transportation Services |
Street Address |
125 S 600 E APT 3 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-1939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316393432 | Unison Transport | Non-emergency Medical Transport (VAN) | 362 E Park Creeke Ln, Salt Lake City, UT 84115-4080 | 2016-05-07 |
1174813604 | Handi Van Inc. | Non-emergency Medical Transport (VAN) | 111 E Broadway Ste 250, Salt Lake City, UT 84111-5241 | 2011-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003446303 | Trusted Transportation | Non-emergency Medical Transport (VAN) | 260 E 200 S, Orem, UT 84058-5553 | 2020-01-25 |
1699319079 | Silver Cross Transports | Non-emergency Medical Transport (VAN) | 922 S Daisy Dr, Fruit Heights, UT 84037-3234 | 2019-10-29 |
1205497864 | Starzz Transportation | Non-emergency Medical Transport (VAN) | 3570 S 500 W, South Salt Lake, UT 84115-4236 | 2019-06-25 |
1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
1952878936 | Sush LLC | Non-emergency Medical Transport (VAN) | 2019 E Riverside Dr Ste A102, St George, UT 84790-8692 | 2018-10-29 |
1265924708 | Travis Scothern | Non-emergency Medical Transport (VAN) | 8925 S Cold Water Dr Apt 2134, Sandy, UT 84094-1885 | 2018-05-31 |
1447749155 | William Patrick Sullenger | Non-emergency Medical Transport (VAN) | 7851 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-05-08 |
1134621550 | Pegasus Lifts Northern Utah, LLC | Non-emergency Medical Transport (VAN) | 1361 N 1075 W Ste 10, Farmington, UT 84025-2876 | 2018-03-01 |
1205386695 | Loads of Love, LLC | Non-emergency Medical Transport (VAN) | 272 South 2175 West, Lehi, UT 84043 | 2016-10-10 |
1053762765 | Comfort At Home Care LLC | Non-emergency Medical Transport (VAN) | 210 N Shirttail Way, Blanding, UT 84511-3220 | 2016-06-23 |
Find all providers with the same taxonomy |
City | SALT LAKE CITY |
Zip Code | 84102 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.