MIRACLE LIFE TRANSPORTATION (NPI# 1174759765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174759765 |
| Entity Type | Organization |
| Organization Name | MIRACLE LIFE TRANSPORTATION |
| Practice Address |
4115 Teal Valley Ct Fresno TX 77545-8650 |
| Practice Telephone | 2816901427 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | KEON STEVENS (OWNER) |
| Authorized Official Telephone | 2816901427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4115 TEAL VALLEY CT |
| City | FRESNO |
| State | TX |
| Zip Code | 77545-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780100610 | Schristiandevelopment | Day Training, Developmentally Disabled Services | 3819 Teal Maple Ct., Fresno, TX 77545 | 2017-08-22 |
| 1548786924 | Katreece M Bell | Nurse Practitioner | 1834 Bravos Manor Lane, Fresno, TX 77545 | 2017-08-17 |
| 1275912735 | Evosource | Non-emergency Medical Transport (VAN) | 1307 Peacham Ct, Fresno, TX 77545 | 2015-05-29 |
| 1407241300 | Gwendolyn Champion | Physician Assistant | 4026 E Teal Estates Cir, Fresno, TX 77545 | 2015-03-30 |
| 1811394745 | Elaine Khuong | Pharmacist | 12225 Sr 6, Fresno, TX 77545 | 2014-11-20 |
| 1225442551 | Michael Jerome Tubbs | Specialist/Technologist, Other | 2126 Beacon Light Ln, Fresno, TX 77545 | 2014-06-14 |
| 1801219431 | Angelica Healthcare Services | Home Health | 3003 Valian Elm Street, Fresno, TX 77545 | 2014-02-03 |
| 1801048376 | Kroger Texas L P | Pharmacy | 10250 Fresno State Hwy 6, Fresno, TX 77545 | 2008-10-16 |
| 1215188818 | Kroger Texas Lp | Pharmacy | 10250 State Hwy 6, Fresno, CA 77545 | 2008-10-02 |
| 1528243201 | M & H Home Care Inc. | Home Health | 1335 Hunter Green Lane, Fresno, TX 77545 | 2007-12-31 |
| Find all providers in zip 77545 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1144848359 | Willis & Co. Transport, LLC | Non-emergency Medical Transport (VAN) | 3010 Feather Green Trl, Fresno, TX 77545-7159 | 2020-07-14 |
| 1629615042 | On Point Management Care | Non-emergency Medical Transport (VAN) | 4944 E Clinton Way Ste 102, Fresno, CA 93727-1527 | 2019-12-04 |
| 1609419258 | Community Med Trans, Inc | Non-emergency Medical Transport (VAN) | 4220 N College Ave Apt A, Fresno, CA 93704-3863 | 2019-10-25 |
| 1629639844 | Legger Thomas Thompson Jr. | Non-emergency Medical Transport (VAN) | 2965 N Maroa Ave, Fresno, CA 93704-5608 | 2019-06-27 |
| 1932765500 | Gurpal Singh | Non-emergency Medical Transport (VAN) | 5868 E Mono St, Fresno, CA 93727-5574 | 2019-05-19 |
| 1407410368 | Maralik Ani LLC | Non-emergency Medical Transport (VAN) | 5100 N 6th St Ste 157, Fresno, CA 93710-7506 | 2019-04-26 |
| 1063971133 | Jennifer Marty | Non-emergency Medical Transport (VAN) | 2553 N Whittier Ave, Fresno, CA 93727-1462 | 2019-03-18 |
| 1578027520 | Eagle Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 4733 W Spruce Ave, Fresno, CA 93722-3576 | 2019-01-24 |
| 1790259364 | On Call Medical Transportation | Non-emergency Medical Transport (VAN) | 4721 W Jennifer Ave Ste 21, Fresno, CA 93722-6441 | 2019-01-17 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.