PRINCE MED TRANS LLC (NPI# 1255977930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255977930 |
| Entity Type | Organization |
| Organization Name | PRINCE MED TRANS LLC |
| Practice Address |
3834 W Golden Ln Phoenix AZ 85051-3759 |
| Practice Telephone | 6024631050 |
| Mailing Telephone | 6024631050 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | MOHAMED KUKU (OWNER) |
| Authorized Official Telephone | 6024631050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 714778 | 05 |
| Street Address |
3834 W GOLDEN LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| 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 |
|---|---|---|---|---|
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1770122103 | Teodor Daniel Oprea | Non-emergency Medical Transport (VAN) | 514 E Morrow Dr, Phoenix, AZ 85024-2860 | 2020-01-02 |
| 1740827765 | Omer Mohamed | Non-emergency Medical Transport (VAN) | 1606 W Peoria Ave Apt 103, Phoenix, AZ 85029-5702 | 2019-12-09 |
| 1730738915 | Shareef Daoud | Non-emergency Medical Transport (VAN) | 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021-5168 | 2019-09-10 |
| 1184273401 | Best Deal LLC | Non-emergency Medical Transport (VAN) | 4020 E Thomas Rd, Phoenix, AZ 85018-7514 | 2019-09-09 |
| 1972064228 | Medlift Inc. | Non-emergency Medical Transport (VAN) | 3311 E Washington St, Phoenix, AZ 85034-1609 | 2019-03-28 |
| 1891203287 | Ismail Ibrahim Ali | Non-emergency Medical Transport (VAN) | 3601 E Mcdowell Rd Apt 1020, Phoenix, AZ 85008-4378 | 2018-01-19 |
| Find all providers in PHOENIX | ||||
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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.