Active NPI
Celestial Medical Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Southfield, MI
National Provider Identifier
1487426094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CELESTIAL MEDICAL TRANSPORTATION, LLC
- Practice address
- 17200 W 10 Mile Rd Ste 103
Southfield, MI 48075-2998 - Phone
- (248) 557-5788
- NPI assigned
- Oct 26, 2023
- 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
- Daniel Dwyer
- Title
- Director of Operations
- Phone
- (313) 690-8404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
17200 W 10 Mile Rd Ste 103
Southfield, MI 48075-2998
Mailing address
47610 Grand River Ave # 1014
Novi, MI 48374-1217
Phone (800) 317-4371
Other practice location 1
27668 E Mockingbird Dr
Flat Rock, MI 48134-4704
Phone (800) 317-4371
National Provider Directory
National Provider DirectoryLocations
17200 W 10 Mile Rd
Ste 103
Southfield, MI 48075
Phone (248) 557-5788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1487426094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47610 GRAND RIVER AVE # 1014",
"city": "NOVI",
"state": "MI",
"postal_code": "483741217",
"telephone_number": "800-317-4371",
"fax_number": "248-694-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 W 10 MILE RD STE 103",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752998",
"telephone_number": "248-557-5788"
}
],
"practiceLocations": [
{
"address_1": "27668 E Mockingbird Dr",
"address_purpose": "LOCATION",
"city": "Flat Rock",
"state": "MI",
"postal_code": "481344704",
"country_code": "US",
"telephone_number": "800-317-4371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CELESTIAL MEDICAL TRANSPORTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "313-690-8404"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.