MEDICARE: BOYDSCO HOLDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	347E00000X	Transportation Broker
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1801755681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOYDSCO HOLDINGS LLC

Provider Business Mailing Address
First Line	:	538 JOUETT AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-8023
Country	:	US
Telephone Number	:	517-554-6694
Fax Number	:

Provider Business Practice Location Address
First Line	:	538 JOUETT AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-8023
Country	:	US
Telephone Number	:	517-554-6694
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNT COORDINATOR
Name	:	CARL BOYD
Credential	:
Telephone Number	:	517-554-6694

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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