Healthcare Provider Details

I. General information

NPI: 1013628544
Provider Name (Legal Business Name): DEMAND TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 W LONG LAKE RD STE 225
TROY MI
48098-2827
US

IV. Provider business mailing address

888 W LONG LAKE RD STE 225
TROY MI
48098-2827
US

V. Phone/Fax

Practice location:
  • Phone: 800-443-2603
  • Fax: 800-443-0403
Mailing address:
  • Phone: 800-443-2603
  • Fax: 800-443-0403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. REAVONNE CAMPBELL
Title or Position: DIRECTOR OF OPTERATIONS
Credential: RN
Phone: 248-710-7737