Active NPI
Sherry Rene Sparks
- Non-emergency Medical Transport (VAN)
- Detroit, MI
National Provider Identifier
1497220198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 4240 Belvidere St
Detroit, MI 48214-1383 - Phone
- (586) 260-0060
- Fax
- (313) 638-1086
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MI | Primary |
Addresses
Primary practice location
4240 Belvidere St
Detroit, MI 48214-1383
Mailing address
4240 Belvidere St
Detroit, MI 48214-1383
Phone (586) 260-0060
Other practice location 1
18311 W 10 Mile Rd Ste 209
Southfield, MI 48075-2623
Phone (248) 351-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCM Enterprise Services LLC | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Southfield, MI
- NPI 1164981676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1497220198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 BELVIDERE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482141383",
"telephone_number": "586-260-0060",
"fax_number": "313-638-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 BELVIDERE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482141383",
"telephone_number": "586-260-0060",
"fax_number": "313-638-1086"
}
],
"practiceLocations": [
{
"address_1": "18311 W 10 Mile Rd Ste 209",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480752623",
"country_code": "US",
"telephone_number": "248-351-0235",
"fax_number": "248-262-7179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "SHERRY",
"middle_name": "RENE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.