BRONZE OWL LLC (NPI# 1184169229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184169229 |
| Entity Type | Organization |
| Organization Name | BRONZE OWL LLC |
| Practice Address |
1424 Cape Cod Way Concord CA 94521 |
| Mailing Address |
3752 Briar Ln Orange Park FL 32065 |
| Practice Telephone | 8053694935 |
| Mailing Telephone | 8053694935 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MS. ANTOINETTE CECILE WILLIAMS (OWNER) |
| Authorized Official Telephone | 8053694935 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 94375 | CA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONZE OWL LLC | 332 Southern Rose Dr, Jacksonville, FL 32225-2039 |
| Street Address |
1424 CAPE COD WAY |
| City | CONCORD |
| State | CA |
| Zip Code | 94521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| 1821164815 | Stephen Elliott Ludwig | Dentist | 1494 Washington Blvd Suite D, Concord, CA 94521 | 2006-11-28 |
| Find all providers in zip 94521 | ||||
| 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 |
|---|---|---|---|---|
| 1518577766 | Triohealth Transport, Incorporated | Non-emergency Medical Transport (VAN) | 1950 Olivera Rd Ste B, Concord, CA 94520-5486 | 2020-08-03 |
| 1457979221 | Jaswinder Singh | Non-emergency Medical Transport (VAN) | 1688 Clayton Rd Apt 10, Concord, CA 94520-3220 | 2020-07-08 |
| 1255955829 | Code 3 Entertainment Services, LLC | Non-emergency Medical Transport (VAN) | 3392 Clayton Rd, Concord, CA 94519-2837 | 2020-05-29 |
| 1013543412 | Trinity Medical Transportation, LLC | Non-emergency Medical Transport (VAN) | 3500 Clayton Rd Ste 201, Concord, CA 94519-2486 | 2020-03-17 |
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1992348452 | Heart of Healthcare | Non-emergency Medical Transport (VAN) | 5915 Firethorne Ln, Concord, NC 28025-9115 | 2019-10-28 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1427580810 | Arete Services | Non-emergency Medical Transport (VAN) | 2925 Monument Blvd, Suite 157, Concord, CA 94520-3075 | 2017-04-03 |
| 1992245856 | Haley Assisted Transportation | Non-emergency Medical Transport (VAN) | 496 Sutro Forest Dr Nw, Concord, NC 28027-8072 | 2017-02-27 |
| 1528513983 | Provizions Inc | Non-emergency Medical Transport (VAN) | 979 Ramsgate Dr Sw, Concord, NC 28025-9222 | 2016-08-16 |
| Find all providers in CONCORD | ||||
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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.