EXECUTIVE SEDAN SERVICES (NPI# 1780115758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780115758 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE SEDAN SERVICES |
| Practice Address |
4204 Ethan Thomas Dr Clinton MD 20735-4431 |
| Practice Telephone | 3014487067 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | SHAUN LONGLEY (CEO) |
| Authorized Official Telephone | 3014487067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4204 ETHAN THOMAS DR |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1881211423 | Carla Rhinehart | Non-emergency Medical Transport (VAN) | 2005 State Route 31, Clinton, NJ 08809-2020 | 2020-06-30 |
| 1003383225 | Assisted Shuttle LLC | Non-emergency Medical Transport (VAN) | 5909 Plata St, Clinton, MD 20735-2370 | 2018-10-25 |
| 1003391426 | Helping Hands Transportation and Care, LLC | Non-emergency Medical Transport (VAN) | 104 Arbor Dr, Clinton, MS 39056-5741 | 2018-10-02 |
| 1033579677 | East Feliciana Council On Aging | Non-emergency Medical Transport (VAN) | 11102 Bank St, Clinton, LA 70722-0986 | 2016-02-24 |
| 1558729913 | Andrea's Medical Transportation | Non-emergency Medical Transport (VAN) | 11707 Rist Rd, Clinton, LA 70722-4170 | 2016-02-01 |
| 1699193375 | Robertha Sanders | Non-emergency Medical Transport (VAN) | 10687 Roosevelt St, Clinton, LA 70722-3514 | 2014-03-31 |
| 1598032419 | Allied Community Transportation, LLC | Non-emergency Medical Transport (VAN) | 829 N 7th St, Clinton, IN 47842-1306 | 2011-11-21 |
| 1336446681 | Lisa Diana Hill | Non-emergency Medical Transport (VAN) | 28663 Highway 76 E, Clinton, SC 29325-5331 | 2011-02-23 |
| 1275669574 | Community Care On Wheels | Non-emergency Medical Transport (VAN) | 60 Kauffmans Crk, Clinton, OH 44216-8658 | 2007-02-23 |
| 1306918206 | A-1 Ambulance & Transport Inc | Non-emergency Medical Transport (VAN) | 7529 Old Alexandria Ferry Rd # A, Clinton, MD 20735-1835 | 2006-11-15 |
| Find all providers in CLINTON | ||||
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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.