DONOVAN PETTIFORD (NPI# 1962974097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962974097 |
Entity Type | Individual |
Full Name | DONOVAN PETTIFORD |
Practice Address |
6128 Morning Dove Dr Indianapolis IN 46228-1097 |
Practice Telephone | 3173663979 |
Mailing Telephone | 3173663979 |
Enumeration Date | 2018-12-31 |
Last Update Date | 2018-12-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 347C00000X | Private Vehicle | 5330-20-5370 | IN | Transportation Services |
Street Address |
6128 MORNING DOVE DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46228-1097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
1376063917 | Amanda Elizabeth Avant | Social Worker | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2017-06-25 |
Find all providers in zip 46228 |
Taxonomy Code | 347C00000X |
Grouping | Transportation Services |
Classification | Private Vehicle |
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003095 | Connected Residential Consulting LLC | Private Vehicle | 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 | 2019-09-25 |
1902316870 | Transfiguration Enterprises, LLC | Private Vehicle | 608 E 22nd St, Indianapolis, IN 46202-1632 | 2017-10-05 |
1790223253 | Jsr Transportation | Private Vehicle | 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 | 2017-02-05 |
1477003507 | Jacquelyn Brewer | Private Vehicle | 9645 Westfield Blvd, Indianapolis, IN 46280-1771 | 2016-10-13 |
1871975029 | Dustin De'wayne Sheets | Private Vehicle | 1020 Hosbrook St, Suite D, Indianapolis, IN 46203-1067 | 2015-06-24 |
1073915856 | Ronnetta Odonghanro | Private Vehicle | 7001 Camelot Ct # 5, Indianapolis, IN 46214-3648 | 2014-09-23 |
1053732594 | Glenda J Singh | Private Vehicle | 5006 Oakbrook Rd, C, Indianapolis, IN 46254-1137 | 2013-12-31 |
1750637252 | Lachana Denise Miller | Private Vehicle | 3874 N Sherman Dr, Indianapolis, IN 46226-4462 | 2012-08-02 |
1487916417 | Walker Transportation | Private Vehicle | 3534 Pixley Ct, Indianapolis, IN 46235-2228 | 2012-06-14 |
1972874436 | Jeffrey Allan Hartley | Private Vehicle | 7135 Twin Oaks Dr, Suite H, Indianapolis, IN 46226-6847 | 2012-01-14 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46228 |
Please comment or provide details below to improve the information on DONOVAN PETTIFORD.
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.