MEDICARE: APPOINTMENT KEEPERS NEMT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1881144723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPOINTMENT KEEPERS NEMT LLC

Provider Business Mailing Address
First Line	:	22200 W. 11 MILE RD.
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48037-0451
Country	:	US
Telephone Number	:	888-477-5517
Fax Number	:	888-477-5516

Provider Business Practice Location Address
First Line	:	14870 GREENLAWN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238-1825
Country	:	US
Telephone Number	:	888-477-5517
Fax Number	:	888-477-5516

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. RATHAELL THOMPSON
Credential	:
Telephone Number	:	888-477-5517

Provider Enumeration Date	:	10/04/2016
Last Update Date	:	10/04/2016

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