JAG TRANSPORTATION OF GRAND RAPIDS (NPI# 1366842924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366842924 |
| Entity Type | Organization |
| Organization Name | JAG TRANSPORTATION OF GRAND RAPIDS |
| Practice Address |
5763 E Grove Dr Se Kentwood MI 49512-9522 |
| Practice Telephone | 6169018008 |
| Mailing Telephone | 6169018008 |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |
| Authorized Official Name | SUZZETTE LIRIO-ONA (OWNER) |
| Authorized Official Telephone | 6169018008 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | DBH6287 | MI | Transportation Services |
| Y | 347C00000X | Private Vehicle | CMZ7100 | MI | Transportation Services |
| Street Address |
5763 E GROVE DR SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-9522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284810 | Kevin L Warren | Private Vehicle | 6032 Chamberlain St, Romulus, MI 48174-1810 | 2020-10-28 |
| 1639776172 | Blue Dot | Private Vehicle | 370 Roberts St, Muskegon, MI 49442-1363 | 2020-10-07 |
| 1285273029 | Maverick's Transportation Service, LLC | Private Vehicle | 16021 Dugan St, Roseville, MI 48066-1480 | 2019-12-26 |
| 1104485614 | Mahabad Ahmed | Private Vehicle | 170 Mckinley Dr, Troy, MI 48098-2964 | 2019-06-08 |
| 1215595061 | Madame Paulettes Regal Services | Private Vehicle | 12630 Kelly Rd, Detroit, MI 48224-1502 | 2019-06-05 |
| 1164087839 | Harry Pritchett IIi | Private Vehicle | 16603 Bringard Dr, Detroit, MI 48205-1522 | 2019-05-07 |
| 1467915728 | Eric Robert Stuart | Private Vehicle | 1816 Chestnut St, Cadillac, MI 49601-9240 | 2019-04-12 |
| 1568929917 | Simon Community Transportation, Inc | Private Vehicle | 5232 Oakman Blvd, Dearborn, MI 48126-3318 | 2019-02-21 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1023535754 | Professional Experienced Assistant Caring for The Elderly of Mind | Private Vehicle | 2410 Inverness Road, Grand Rapids, MI 49546 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
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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.