Organization Active NPI

Modern Luxe Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • West Bloomfield, MI
National Provider Identifier
1144738303
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MODERN LUXE TRANSPORTATION INC
Practice address
5562 Hampshire Dr
West Bloomfield, MI 48322-1129
Phone
(248) 910-5733
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maverick Joseph Shaba
Title
President
Phone
(248) 787-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5562 Hampshire Dr
West Bloomfield, MI 48322-1129

Mailing address

PO Box 250572
West Bloomfield, MI 48325-0572
Phone (248) 787-4200

Other names 1

  • Modern Luxe Transportation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1144738303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250572",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250572",
            "telephone_number": "248-787-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 HAMPSHIRE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221129",
            "telephone_number": "248-910-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN LUXE TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "SHABA",
        "authorized_official_first_name": "MAVERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-787-4200"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Luxe Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.