CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE (NPI# 1982151593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982151593 |
| Entity Type | Organization |
| Organization Name | CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE |
| Practice Address |
18701 Grand River Ave Ste 150 Detroit MI 48223-2214 |
| Mailing Address |
18701 Gand River Ave Ste 150 Detroit MI 48223 |
| Practice Telephone | 3135748889 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | STACY PUGH (OWNER) |
| Authorized Official Telephone | 3135748889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 166362 | MI | Transportation Services |
| Street Address |
18701 GRAND RIVER AVE STE 150 |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| 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 |
|---|---|---|---|---|
| 1699389197 | Array Transportation of Michigan LLC | Non-emergency Medical Transport (VAN) | 4344 Springle St, Detroit, MI 48215-2238 | 2020-09-02 |
| 1740828797 | Gsp Global LLC | Non-emergency Medical Transport (VAN) | 15820 Ashton Rd, Detroit, MI 48223-1306 | 2019-12-19 |
| 1114568409 | Vanessa Gwynn | Non-emergency Medical Transport (VAN) | 4450 Fairview St, Detroit, MI 48214-1610 | 2019-10-08 |
| 1710537527 | Winona Logistics LLC | Non-emergency Medical Transport (VAN) | 1001 Covington Dr Apt 2, Detroit, MI 48203-4011 | 2019-09-13 |
| 1265089239 | Nakia Adams | Non-emergency Medical Transport (VAN) | 14551 Terry St, Detroit, MI 48227-2532 | 2019-08-23 |
| 1639723307 | Speedy R's Luxury Transportation, LLC | Non-emergency Medical Transport (VAN) | 18435 Sunderland Rd, Detroit, MI 48219-2815 | 2019-07-30 |
| 1265093827 | Bmm Transportation | Non-emergency Medical Transport (VAN) | 14343 Montrose St, Detroit, MI 48227-2150 | 2019-06-25 |
| 1801358379 | Stewart and Stewart Transportation | Non-emergency Medical Transport (VAN) | 16209 Warwick St, Detroit, MI 48219-4014 | 2019-04-03 |
| 1134692734 | Blk Non Medical Transportation | Non-emergency Medical Transport (VAN) | 15700 Rosemont Ave, Detroit, MI 48223-1330 | 2019-01-07 |
| 1699246900 | Tender Hearts Inc | Non-emergency Medical Transport (VAN) | 2708 Oakman Ct, Detroit, MI 48238-2765 | 2018-12-12 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE.
| 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.