DONOVAN PETTIFORD


Address: 6128 Morning Dove Dr, Indianapolis, IN 46228-1097
Phone: 3173663979

DONOVAN PETTIFORD (NPI# 1962974097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962974097
Entity Type Individual
Full Name DONOVAN PETTIFORD
Practice Address 6128 Morning Dove Dr
Indianapolis
IN 46228-1097
Practice Telephone 3173663979
Mailing Telephone 3173663979
Enumeration Date 2018-12-31
Last Update Date 2018-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle 5330-20-5370 IN Transportation Services

Office Location

Street Address 6128 MORNING DOVE DR
City INDIANAPOLIS
State IN
Zip Code 46228-1097

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275797300 Glendia Diane Butts Occupational Therapist 3644 West 48th Street, Indianapolis, IN 46228 2008-07-17
1073573465 Michael W. Lane Specialist 5035 W. 71st St., Ste E, Indianapolis, IN 46228 2006-03-28
1730186628 Marimelia Skovronsky Ophthalmology 1017 W 52nd St, Indianapolis, IN 46228 2005-07-07
1235200742 Gental Hands Home Health Home Health 5960 Manning Rd, Indianapolis, IN 46228-1081 2006-11-13
1710170220 Vetra Davis Home Health 5960 Manning Rd, Indianapolis, IN 46228-1081 2007-08-20
1811453814 Terry Anthony Webster Jr. Day Training/Habilitation Specialist 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 2019-02-14
1679039671 T3 Impact Inc. Counselor 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 2019-02-14
1134217201 Springfield Health Care Center, Inc Skilled Nursing Facility 6130 Michigan Rd, Indianapolis, IN 46228-1200 2006-10-11
1134767692 Shannon Alford Counselor 6130 Michigan Rd, Indianapolis, IN 46228-1200 2019-12-16
1376063917 Amanda Elizabeth Avant Social Worker 6130 Michigan Rd, Indianapolis, IN 46228-1200 2017-06-25
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467003095 Connected Residential Consulting LLC Private Vehicle 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 2019-09-25
1902316870 Transfiguration Enterprises, LLC Private Vehicle 608 E 22nd St, Indianapolis, IN 46202-1632 2017-10-05
1790223253 Jsr Transportation Private Vehicle 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 2017-02-05
1477003507 Jacquelyn Brewer Private Vehicle 9645 Westfield Blvd, Indianapolis, IN 46280-1771 2016-10-13
1871975029 Dustin De'wayne Sheets Private Vehicle 1020 Hosbrook St, Suite D, Indianapolis, IN 46203-1067 2015-06-24
1073915856 Ronnetta Odonghanro Private Vehicle 7001 Camelot Ct # 5, Indianapolis, IN 46214-3648 2014-09-23
1053732594 Glenda J Singh Private Vehicle 5006 Oakbrook Rd, C, Indianapolis, IN 46254-1137 2013-12-31
1750637252 Lachana Denise Miller Private Vehicle 3874 N Sherman Dr, Indianapolis, IN 46226-4462 2012-08-02
1487916417 Walker Transportation Private Vehicle 3534 Pixley Ct, Indianapolis, IN 46235-2228 2012-06-14
1972874436 Jeffrey Allan Hartley Private Vehicle 7135 Twin Oaks Dr, Suite H, Indianapolis, IN 46226-6847 2012-01-14
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Competitor

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City INDIANAPOLIS
Zip Code 46228

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Dataset Information

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.

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