Healthcare Provider Details

I. General information

NPI: 1588526586
Provider Name (Legal Business Name): HEARTLAND MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CENTERVIEW DR STE 62
GREENSBORO NC
27407-3708
US

IV. Provider business mailing address

2 CENTERVIEW DR STE 62
GREENSBORO NC
27407-3708
US

V. Phone/Fax

Practice location:
  • Phone: 980-888-3424
  • Fax: 704-931-5246
Mailing address:
  • Phone: 980-888-3424
  • Fax: 704-931-5246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: NIGATU NEGEYA KASSA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 980-888-3424