Organization Active NPI

Celestial Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Southfield, MI
National Provider Identifier
1487426094
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Oct 26, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

Other providers in Southfield, MI

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.

Verify at the official NPI Registry.