Healthcare Provider Details

I. General information

NPI: 1932903473
Provider Name (Legal Business Name): CRAWFORD EXPRESS SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 14 1/2 ST
ROCK ISLAND IL
61201-2533
US

IV. Provider business mailing address

1055 N DIVISION
DAVENPORT IA
52806
US

V. Phone/Fax

Practice location:
  • Phone: 309-235-8808
  • Fax:
Mailing address:
  • Phone: 309-235-8088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: SHANICA CRAWFORD
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: CNA NURSE ASSISTANT
Phone: 309-235-8088