MEDICARE: CANDON ENTERPRISE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1295421048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANDON ENTERPRISE LLC

Provider Business Mailing Address
First Line	:	3200 NORTHWAY DR STE 8
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-3050
Country	:	US
Telephone Number	:	651-313-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 NORTHWAY DR STE 8
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-3050
Country	:	US
Telephone Number	:	651-313-3039
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DONOVAN POWELL
Credential	:
Telephone Number	:	612-517-9387

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	07/22/2024

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1548956394 — DONOVAN POWELL
Practice Location Address:

3200 NORTHWAY DR STE 8
BROOKLYN CENTER, MN
55429-3050

Practice Phone: 651-313-3039
Practice Fax:

1518950146 — DR. JACK HELLMAN MD
Practice Location Address:

1225 49TH ST
BROOKLYN, NY
11219-3050

Practice Phone: 718-853-9600
Practice Fax: 718-936-6080

1700851789 — DR. MICHAEL IRA FUCHS M.D.
Practice Location Address:

1225 49TH ST
BROOKLYN, NY
11219-3050

Practice Phone: 718-436-9649
Practice Fax: 718-436-6080

1114143518 — MS. ANA CRISTINA GONZALEZ CRC, LMHC
Practice Location Address:

3050 BRIGHTON 7TH ST
BROOKLYN, NY
11235-6415

Practice Phone: 718-496-9896
Practice Fax:

1104152891 — NEW BEGINNINGS UNLIMITED
Practice Location Address:

6303 20TH AVE
BROOKLYN, NY
11204-3050

Practice Phone: 718-234-2255
Practice Fax: 718-234-2257

Directions to “CANDON ENTERPRISE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.