Healthcare Provider Details

I. General information

NPI: 1508260241
Provider Name (Legal Business Name): ANYTIME CARE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 10/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TOWN CENTER SUITE 650
SOUTHFIELD MI
48075
US

IV. Provider business mailing address

200 TOWN CENTER SUITE 650
SOUTHFIELD MI
48075
US

V. Phone/Fax

Practice location:
  • Phone: 248-430-5350
  • Fax: 248-352-5211
Mailing address:
  • Phone: 248-430-5350
  • Fax: 248-352-5211

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: CAROL THOMPSON
Title or Position: PRESIDENT
Credential:
Phone: 586-948-9144