COSTA FORWARD ENTERPRISE INCORPORATED (NPI# 1568084283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568084283 |
| Entity Type | Organization |
| Organization Name | COSTA FORWARD ENTERPRISE INCORPORATED |
| Practice Address |
1435 4th St San Rafael CA 94901-2847 |
| Mailing Address |
2412 Mark Twain Dr Antioch CA 94531-8358 |
| Practice Telephone | 4157247861 |
| Practice Fax Number | 9254812943 |
| Mailing Telephone | 4157247861 |
| Mailing Fax Number | 9254812943 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | MR. ALOIZIO VERONICO COSTA (OWNER) |
| Authorized Official Telephone | 4157247861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2412 Mark Twain Dr, Antioch, CA 945318358 | 4157247861 | 9254812943 |
| Street Address |
1435 4TH ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256081 | Aloizio Veronico Costa | Driver | 1435 4th St, San Rafael, CA 94901-2847 | 2020-05-14 |
| 1811501810 | Lowell Noble | Massage Therapist | 1435 4th St, San Rafael, CA 94901-2847 | 2020-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1316480916 | Marin Senior Coordinating Council | Non-emergency Medical Transport (VAN) | 930 Tamalpais Ave, San Rafael, CA 94901-3325 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1639779796 | Med United Inc | Non-emergency Medical Transport (VAN) | 12153 Via Serrano, El Cajon, CA 92019-5022 | 2020-10-28 |
| 1639779085 | Steemmy Transit LLC | Non-emergency Medical Transport (VAN) | 5179 Lone Tree Way Ste 534, Antioch, CA 94531-8689 | 2020-10-27 |
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1871192609 | Andre Barian | Non-emergency Medical Transport (VAN) | 4448 Eagle Rock Blvd Ste G, Los Angeles, CA 90041-3512 | 2020-10-22 |
| 1356940043 | Statewide Medical Services LLC | Non-emergency Medical Transport (VAN) | 38 W Sierra Madre Blvd Ste K, Sierra Madre, CA 91024-2488 | 2020-10-22 |
| 1598364424 | Good Health Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 1009 Highway A12, Montague, CA 96064-9037 | 2020-10-21 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1669071759 | Doha Murad | Non-emergency Medical Transport (VAN) | 4862 Garden Homes Pl, Elk Grove, CA 95758-9516 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on COSTA FORWARD ENTERPRISE INCORPORATED.
| 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.