Healthcare Provider Details

I. General information

NPI: 1023935541
Provider Name (Legal Business Name): CHERIVILLAGE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 GARFIELD AVE
BATTLE CREEK MI
49037-3411
US

IV. Provider business mailing address

194 GARFIELD AVE
BATTLE CREEK MI
49037-3411
US

V. Phone/Fax

Practice location:
  • Phone: 269-425-2865
  • Fax:
Mailing address:
  • Phone: 269-425-2865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. GILBERT MATUI
Title or Position: MD
Credential:
Phone: 269-425-2865