LAKESHORE MEDICAL TRANSPORT AND SUPPLY (NPI# 1073028890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028890 |
| Entity Type | Organization |
| Organization Name | LAKESHORE MEDICAL TRANSPORT AND SUPPLY |
| Practice Address |
11450 Minden St Detroit MI 48205-3763 |
| Practice Telephone | 3134373841 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | DONTE ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 3133298125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
11450 MINDEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-3763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321345 | Rosie F Beasley | Driver | 4458 Grayton St, Detroit, MI 48224-4006 | 2020-03-17 |
| 1437781242 | Candice Denise Pointer | Driver | 20518 W Warren Ave, Detroit, MI 48228-3243 | 2020-02-10 |
| 1235783077 | Joi J Grier | Driver | 3347 Medbury St, Detroit, MI 48211-3045 | 2019-07-30 |
| 1598319469 | Arnel Eatmon | Driver | 18011 Joseph Campau St, Detroit, MI 48234-1563 | 2019-07-30 |
| 1700448834 | Tina L Pace | Driver | 14077 Faircrest St, Detroit, MI 48205-2807 | 2019-06-28 |
| 1255804258 | Kundwani H Kyer | Driver | 18450 Edinborough Rd, Detroit, MI 48219-2862 | 2019-01-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1043759442 | Jennifer Curtis | Driver | 20410 Terrell St, Detroit, MI 48234-3209 | 2017-02-17 |
| 1972042646 | Tyree Williams | Driver | 19630 Stratford Rd, Detroit, MI 48221-3500 | 2017-02-14 |
| 1386186849 | Jabar Bufkin | Driver | 14145 Troester St, Detroit, MI 48205-3541 | 2016-11-14 |
| Find all providers in DETROIT | ||||
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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.