Healthcare Provider Details

I. General information

NPI: 1154275063
Provider Name (Legal Business Name): CARENOVA MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PRESERVE CIRCLE DR SE APT 4
GRAND RAPIDS MI
49548-4807
US

IV. Provider business mailing address

650 PRESERVE CIRCLE DR SE APT 4
GRAND RAPIDS MI
49548-4807
US

V. Phone/Fax

Practice location:
  • Phone: 616-251-2494
  • Fax:
Mailing address:
  • Phone: 616-251-2494
  • 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: CYIZA BAHATI
Title or Position: OWNER
Credential:
Phone: 616-251-2494