MR. CORY BRUCE LANGBERG (NPI# 1114585163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114585163 |
| Entity Type | Individual |
| Full Name | MR. CORY BRUCE LANGBERG |
| Practice Address |
5362 W Prairie Ave Post Falls ID 83854-5912 |
| Mailing Address |
Po Box 3212 Post Falls ID 83877-3212 |
| Practice Telephone | 2087862470 |
| Mailing Telephone | 2087862470 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | RCT47478 | ID | Other Service Providers |
| N | 171WH0202X |
Contractor Specialization: Home Modifications |
RCT47478 | ID | Other Service Providers |
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
5362 W PRAIRIE AVE |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-5912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| 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 |
|---|---|---|---|---|
| 1528418449 | Home and Away Medical Transport | Non-emergency Medical Transport (VAN) | 1421 W Poleline Ave, Post Falls, ID 83854-9828 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714025 | Jonathan Amissa | Non-emergency Medical Transport (VAN) | 1573 S Riverstone Ln Apt 303, Boise, ID 83706-6542 | 2019-11-09 |
| 1336613306 | Suzanne R Baker | Non-emergency Medical Transport (VAN) | 1190 Twin Butte Rd, Menan, ID 83434-5117 | 2019-01-14 |
| 1598263394 | Frances Hammons | Non-emergency Medical Transport (VAN) | 60 East 2nd Ave, Glenns Ferry, ID 83623 | 2018-01-26 |
| 1740799832 | Freedom Shuttle Service Inc | Non-emergency Medical Transport (VAN) | 635 E State Ave, Meridian, ID 83642-2354 | 2017-09-21 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1982144192 | Fran's Affordable Rides | Non-emergency Medical Transport (VAN) | 3190 Nw Lancaster Ln, #33, Mountain Home, ID 83647-5778 | 2017-03-07 |
| 1942740857 | Idaho Transport LLC | Non-emergency Medical Transport (VAN) | 9616 W Bienapfl Dr, Boise, ID 83709-4709 | 2017-02-27 |
| 1750827770 | Road Runner Shuttle, LLC | Non-emergency Medical Transport (VAN) | 310 Moonlite Dr, Apt 25, Idaho Falls, ID 83402-2359 | 2017-01-14 |
| 1417493560 | Joann's Shuttle | Non-emergency Medical Transport (VAN) | 6555 N Old Highway 191, Malad City, ID 83252-5072 | 2017-01-13 |
| 1376085795 | Integrity Plus Transportation | Non-emergency Medical Transport (VAN) | 6616 S Cheshire Ave, Boise, ID 83709-6582 | 2016-11-16 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on MR. CORY BRUCE LANGBERG.
| 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.