MOBILE LIFE TRANSPORT LLC (NPI# 1528507845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528507845 |
| Entity Type | Organization |
| Organization Name | MOBILE LIFE TRANSPORT LLC |
| Practice Address |
7918 State Highway 12 Sherburne NY 13460-2902 |
| Practice Telephone | 6076749600 |
| Practice Fax Number | 6076749601 |
| Mailing Telephone | 6076749600 |
| Mailing Fax Number | 6076749601 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | SANDRA L MCDERMOTT (SOLE MEMBER) |
| Authorized Official Telephone | 6076749600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 38095 | NY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03297349 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MOBILE LIFE TRANSPORT LLC | 7918 State Hwy 12, Sherburne, New York 13460 |
| Street Address |
7918 STATE HIGHWAY 12 |
| City | SHERBURNE |
| State | NY |
| Zip Code | 13460-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558625772 | Town of Columbus | Ambulance | 4340 State Highway 80, Sherburne, NY 13460 | 2012-07-03 |
| 1457587263 | Marilyn Halladay | Licensed Practical Nurse | 94 North Main Street, Sherburne, NY 13460 | 2009-06-08 |
| 1972704948 | Wendy J Mcdaniel | Specialist | 11 East State Street, Sherburne, NY 13460 | 2007-05-29 |
| 1144433525 | Peterf J Kwasnik | Pharmacist | 212 Stone House Rd, Sherburne, NY 13460 | 2007-05-08 |
| 1164642427 | Janice Marie Jerabeck | Registered Nurse | 766 Turnpike Rd, Sherburne, NY 13460 | 2007-04-27 |
| 1447479266 | Kathy Ann Bohndorf | Registered Nurse | 766 Turnpike Road, Sherburne, NY 13460 | 2007-04-24 |
| 1295805612 | Kimberly J Maykish | Physical Medicine & Rehabilitation | 19 North Main Street, Sherburne, NY 13460 | 2006-11-09 |
| 1285069112 | Martha Lynn Smith | Nurse Practitioner | 20 Chapel St, Sherburne, NY 13460 | 2013-09-11 |
| 1053520841 | Susan Elizabeth Caraher | Registered Nurse | 766 Turnpike Road, Sherburne, NY 13460 | 2007-05-21 |
| 1871867275 | Anne Walters | Social Worker | 22 S Main St.., Sherburne, NY 13460-0231 | 2012-03-02 |
| Find all providers in zip 13460 | ||||
| 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 |
|---|---|---|---|---|
| 1922609866 | Majestic Lounge Corp Dba Cookie Medical Transportation Service | Non-emergency Medical Transport (VAN) | 803 West Ave Ste 325, Rochester, NY 14611-2452 | 2020-11-06 |
| 1881295996 | Nickel City Group, LLC | Non-emergency Medical Transport (VAN) | 1581 E Delavan Ave, Buffalo, NY 14215-3629 | 2020-11-04 |
| 1881293462 | Ny Merengue Transportation Inc | Non-emergency Medical Transport (VAN) | 13510 Jamaica Ave, Richmond Hill, NY 11418-1957 | 2020-10-23 |
| 1225636665 | Cj Medi Cab Services LLC | Non-emergency Medical Transport (VAN) | 4 Wren St # 1, Amsterdam, NY 12010-5006 | 2020-10-16 |
| 1154929628 | Manjay LLC | Non-emergency Medical Transport (VAN) | 5807 Avenue M, Brooklyn, NY 11234-4115 | 2020-10-15 |
| 1831796697 | Jose L Caraballo | Non-emergency Medical Transport (VAN) | 39 White St, Fredonia, NY 14063-1817 | 2020-10-05 |
| 1619584034 | Larry Reed | Non-emergency Medical Transport (VAN) | 13046 227th St, Laurelton, NY 11413-1725 | 2020-09-29 |
| 1871108548 | All-star Taxi LLC | Non-emergency Medical Transport (VAN) | 825 S 2nd St, Ronkonkoma, NY 11779-7201 | 2020-09-10 |
| 1043824428 | Annsum Inc | Non-emergency Medical Transport (VAN) | 9048 Shannon Ct, Clarence Center, NY 14032-9419 | 2020-09-03 |
| 1104438514 | Ride Health, Inc. | Non-emergency Medical Transport (VAN) | 29 W 17th St, New York, NY 10011-5512 | 2020-08-18 |
| 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.