COSMICCARE (NPI# 1366984833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984833 |
| Entity Type | Organization |
| Organization Name | COSMICCARE |
| Practice Address |
1033 Shannon St Elizabeth City NC 27909-6063 |
| Practice Telephone | 8164892299 |
| Mailing Telephone | 8164892299 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | DEONTRAE JAVON SPRUILL (MANAGER/ CREATOR) |
| Authorized Official Telephone | 8164892299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | NC | Transportation Services | |
| N | 344600000X | Taxi | NC | Transportation Services | |
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
1033 SHANNON ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538601323 | Deontrae Spruill | Non-emergency Medical Transport (VAN) | 1033 Shannon St, Elizabeth City, NC 27909-6063 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1245517580 | All The Small Things Inc | Private Vehicle | 2903 Main Street Ext, Elizabeth City, NC 27909-2800 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664978 | Randy Tinsley | Private Vehicle | 4140 Hickory Blvd, Granite Falls, NC 28630-8371 | 2020-09-21 |
| 1821600016 | Covington Cares Patient Transport, LLC | Private Vehicle | 269 Moonstone Ct, Gibsonville, NC 27249-2969 | 2020-08-19 |
| 1740898121 | Cpw Transportation, LLC | Private Vehicle | 2456 Sunfield Dr, Graham, NC 27253-9801 | 2020-07-21 |
| 1700429966 | Allied Transportation LLC | Private Vehicle | 2400 New Hope Church Rd, Raleigh, NC 27604-2612 | 2019-10-21 |
| 1033761804 | Takisha Brown Mccollum | Private Vehicle | 806 S Martin Luther King Jr St, Rowland, NC 28383-9805 | 2019-07-11 |
| 1497313225 | Mona Rochelle Crawford | Private Vehicle | 1209 Larchmont Dr # 1209, Greensboro, NC 27405-6209 | 2019-06-05 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1225596059 | Allen Affordable and Reliable Non-emergency Transportation, LLC | Private Vehicle | 1218 Dogwood Ln, Salisbury, NC 28146-6017 | 2019-03-11 |
| 1619435260 | Sandra Smith | Private Vehicle | 6074 Charles Ave, Fayetteville, NC 28311-1286 | 2019-03-03 |
| 1295291383 | Solace Biz, Inc | Private Vehicle | 802 Cox Ave, Thomasville, NC 27360-2943 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on COSMICCARE.
| 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.