Healthcare Provider Details

I. General information

NPI: 1306796230
Provider Name (Legal Business Name): FRIENDLYWAY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 NE 107TH TER
KANSAS CITY MO
64155-1534
US

IV. Provider business mailing address

1339 NE 107TH TER
KANSAS CITY MO
64155-1534
US

V. Phone/Fax

Practice location:
  • Phone: 971-222-8679
  • Fax:
Mailing address:
  • Phone: 971-222-8679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MOLALIGN AMENTE SOMBO
Title or Position: OWNER/MEMBER
Credential: SOMBO
Phone: 971-222-8679