GLOW TRANSPORTATION SERVICES (NPI# 1104315886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104315886 |
| Entity Type | Organization |
| Organization Name | GLOW TRANSPORTATION SERVICES |
| Other Organization Name | GLOW TRANSPORTATION SERVICES |
| Practice Address |
4516 Office Park Dr Ste 1 Jackson MS 39206-6036 |
| Practice Telephone | 7695724939 |
| Practice Fax Number | 8885085557 |
| Mailing Telephone | 7695724939 |
| Mailing Fax Number | 8885085557 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | PRENTISS FULTS (OWNER/MANAGER) |
| Authorized Official Telephone | 7695724939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | MS | Transportation Services |
| Other Name | Type Code |
|---|---|
| GLOW Transportation Services | Doing Business As Name - Organization |
| Street Address |
4516 OFFICE PARK DR STE 1 |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-6036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| 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 |
|---|---|---|---|---|
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| 1154968048 | Anwar Abdalnour | Non-emergency Medical Transport (VAN) | 23 Carriage House Dr, Jackson, TN 38305-3934 | 2019-12-10 |
| 1679119564 | Medigo LLC | Non-emergency Medical Transport (VAN) | 782 N West St, Jackson, MS 39202-3017 | 2019-11-26 |
| 1194369264 | Simeon Sobenna Ekugwum | Non-emergency Medical Transport (VAN) | 18 Rob Ln, Jackson, MS 39212-5927 | 2019-11-01 |
| 1437717006 | Door 2 Door | Non-emergency Medical Transport (VAN) | 5110 Curtis St, Jackson, MS 39209-3201 | 2019-05-30 |
| 1053974816 | Tyrie Dunn | Non-emergency Medical Transport (VAN) | 2614 Highway 952, Jackson, LA 70748-3326 | 2019-04-17 |
| 1881157626 | Aa Medical Transit LLC | Non-emergency Medical Transport (VAN) | 811 E River Pl Ste 201, Jackson, MS 39202-3454 | 2019-04-09 |
| 1982166906 | Jnz Transport LLC | Non-emergency Medical Transport (VAN) | 950 W Monroe St Ste G300a, Jackson, MI 49202-2079 | 2019-04-01 |
| 1568931038 | William P Evans | Non-emergency Medical Transport (VAN) | 3979 Skyline Dr, Jackson, MS 39213-6055 | 2018-11-14 |
| Find all providers in JACKSON | ||||
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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.