MOONLIGHT TRANSPORTATION, INC. (NPI# 1174159867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174159867 |
| Entity Type | Organization |
| Organization Name | MOONLIGHT TRANSPORTATION, INC. |
| Practice Address |
6407 Crosswinds Ct Suffolk VA 23435-2922 |
| Practice Telephone | 7573743883 |
| Practice Fax Number | 7573357673 |
| Mailing Telephone | 7573743883 |
| Mailing Fax Number | 7573357673 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | MR. YVES TATAYE (SENIOR PARTNER, CFO) |
| Authorized Official Telephone | 7573743883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| MOONLIGHT TRANSPORTATION, INC. | Other Name - Individual/Organization |
| Street Address |
6407 CROSSWINDS CT |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1285246397 | Shaterika Adams | Non-emergency Medical Transport (VAN) | 3013 Gateway Dr Apt 203, Suffolk, VA 23435-1144 | 2020-08-19 |
| 1245841303 | Jerome Christopher Jackson | Non-emergency Medical Transport (VAN) | 314 Canaan Cir, Suffolk, VA 23435-3536 | 2020-08-12 |
| 1447877865 | Boykins & Brown Transportation | Non-emergency Medical Transport (VAN) | 302 N Broad St, Suffolk, VA 23434-5643 | 2020-07-01 |
| 1790324200 | India N Castellow | Non-emergency Medical Transport (VAN) | 1041 Bay Breeze Dr, Suffolk, VA 23435-3273 | 2019-12-31 |
| 1487298758 | A1 Medical Transportation Incorporated | Non-emergency Medical Transport (VAN) | 5301 Holland Rd, Suffolk, VA 23437-9568 | 2019-10-30 |
| 1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
| 1336701168 | Shedrick Shermanic Roberts | Non-emergency Medical Transport (VAN) | 103 Sandy Lake Dr, Suffolk, VA 23435-3191 | 2019-07-02 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1083188627 | Roderick Tirell Harris Sr. | Non-emergency Medical Transport (VAN) | 6117 Cushing St, Suffolk, VA 23435-3440 | 2019-01-16 |
| 1376020206 | Lena Pon Us Transportation, LLC | Non-emergency Medical Transport (VAN) | 818 Teton Cir, Suffolk, VA 23435-3390 | 2018-07-24 |
| Find all providers in SUFFOLK | ||||
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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.