PRISTINE CARE GROUP, LLC (NPI# 1427691500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427691500 |
| Entity Type | Organization |
| Organization Name | PRISTINE CARE GROUP, LLC |
| Practice Address |
1507 Grandview Drive Fayetteville NC 28314-1806 |
| Mailing Address |
1507 Grandview Dr Fayetteville NC 28314-1806 |
| Practice Telephone | 9103028455 |
| Mailing Telephone | 9103028455 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | MRS. JOVAN LATOYA BOWSER (COO) |
| Authorized Official Telephone | 9103028455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
1507 GRANDVIEW DRIVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1336759174 | Ozark Mobility Nemt, LLC. | Non-emergency Medical Transport (VAN) | 2863 N Old Missouri Rd Ste 105a, Fayetteville, AR 72703-3777 | 2020-08-06 |
| 1154931459 | Lenward Buie | Non-emergency Medical Transport (VAN) | 410 Lionshead Rd, Fayetteville, NC 28311-1356 | 2020-08-03 |
| 1376180901 | Ml Allen Trucking LLC | Non-emergency Medical Transport (VAN) | 2703 Rosehill Rd, Fayetteville, NC 28301-2513 | 2019-12-02 |
| 1376190694 | Professional Health Access LLC | Non-emergency Medical Transport (VAN) | 3070 Highway 138 Sw, Fayetteville, GA 30214-5418 | 2019-08-21 |
| 1740741784 | Jenny & Marv's Transportation Angels | Non-emergency Medical Transport (VAN) | 5007 Higgins St, Fayetteville, NC 28303-3529 | 2019-03-30 |
| 1487110052 | Tnt Transportation LLC | Non-emergency Medical Transport (VAN) | 518 N Cato Springs Rd, Fayetteville, AR 72701-8866 | 2019-02-19 |
| 1063951713 | Circle One Investments LLC | Non-emergency Medical Transport (VAN) | 5490 Robmont Dr, Fayetteville, NC 28306-2673 | 2017-02-14 |
| 1629439450 | Dlk Prime Transport LLC | Non-emergency Medical Transport (VAN) | 1908 Harcourt Cir, Apt 104, Fayetteville, NC 28304-0437 | 2016-03-07 |
| 1588031348 | Arrive On Time Transportation | Non-emergency Medical Transport (VAN) | 145 Magmar Ln, Fayetteville, GA 30214-7208 | 2015-08-27 |
| 1568849032 | E Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 500 Lanier Ave W Ste 908, Fayetteville, GA 30214-7641 | 2015-05-04 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on PRISTINE CARE GROUP, LLC.
| 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.