=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053859876
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLUS CARE TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2017
-----------------------------------------------------
Last Update Date | 02/01/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14586 WISCONSIN
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-740-4396
-----------------------------------------------------
Fax | 313-766-6478
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14586 WISCONSIN ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48238-1751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-740-4396
-----------------------------------------------------
Fax | 313-766-6478
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. ANTOINE KELEF HUFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-740-4396
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------