Active NPI
Superior Executive Transportation
- Private Vehicle
- Detroit, MI
National Provider Identifier
1003646068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- SUPERIOR EXECUTIVE TRANSPORTATION
- Practice address
- 20446 Harned St
Detroit, MI 48234-1516 - Phone
- (404) 964-8586
- NPI assigned
- Aug 5, 2024
- Last updated
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randall Pace
- Title
- Owner
- Phone
- (404) 964-8586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | NU | Primary |
Addresses
Primary practice location
20446 Harned St
Detroit, MI 48234-1516
Mailing address
8106 E Jefferson Ave Apt 210D
Detroit, MI 48214-8053
Phone (404) 964-8586
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1003646068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8106 E JEFFERSON AVE APT 210D",
"city": "DETROIT",
"state": "MI",
"postal_code": "482148053",
"telephone_number": "404-964-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20446 HARNED ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341516",
"telephone_number": "404-964-8586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR EXECUTIVE TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-964-8586",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.