EAGLE SPIRIT TRANSPORTATION (NPI# 1679121230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679121230 |
| Entity Type | Organization |
| Organization Name | EAGLE SPIRIT TRANSPORTATION |
| Practice Address |
16 Ashmont Ave Apt 2 Worcester MA 01610-2886 |
| Practice Telephone | 7747019447 |
| Mailing Telephone | 7747019447 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | JEFFREY BETANCES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7747019447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| Eagle Spirit Transportation | Doing Business As Name - Organization |
| Street Address |
16 ASHMONT AVE APT 2 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1609490317 | Betterplace Betterlife Transportation & Home Care LLC | Non-emergency Medical Transport (VAN) | 660 Franklin St, Worcester, MA 01604-1801 | 2020-05-29 |
| 1851932461 | United Transportation Group, Inc. | Non-emergency Medical Transport (VAN) | 90 Madison St Ste 605, Worcester, MA 01608-2030 | 2019-10-04 |
| 1699271437 | Elijah Williamson | Non-emergency Medical Transport (VAN) | 36c Gibbs St Apt 34, Worcester, MA 01607-1469 | 2018-04-02 |
| 1851821946 | Medical Choice Inc | Non-emergency Medical Transport (VAN) | 16 Brookside Ave, Worcester, MA 01602-1658 | 2017-06-13 |
| 1811360308 | Compass Transportation Inc | Non-emergency Medical Transport (VAN) | 330 Greenwood St, Worcester, MA 01607-1729 | 2015-11-05 |
| 1679990329 | Liberty Ride LLC | Non-emergency Medical Transport (VAN) | 65 Lake Ave, Apt. 831, Worcester, MA 01604-1199 | 2014-03-19 |
| 1396013686 | Safeway Luxury Transportation L.L.C. | Non-emergency Medical Transport (VAN) | 112 Grove St Rear, Worcester, MA 01605-2629 | 2011-12-01 |
| 1912212622 | Worcester Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 237 Chandler St, Worcester, MA 01609-2935 | 2010-08-18 |
| 1871064253 | Savannah Transportation LLC | Non-emergency Medical Transport (VAN) | 11 Gibbs St, Worcester, MA 01607-1453 | 2018-12-11 |
| 1174093330 | Middlesex Transporters LLC | Non-emergency Medical Transport (VAN) | 130 Lincoln St, Worcester, MA 01605-2430 | 2018-11-30 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on EAGLE SPIRIT TRANSPORTATION.
| 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.