Organization Active NPI

Round Trip Service LLC

  • Non-emergency Medical Transport (VAN)
  • Wixom, MI
National Provider Identifier
1669730701
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
D73449 Issued in MI
Legal business name
ROUND TRIP SERVICE LLC
Practice address
47758 Hickory St
22208
Wixom, MI 48393-2719
Phone
(734) 512-6165
Fax
(248) 246-0773
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Mr. Tremell McCaskill
Title
Manager
Phone
(734) 512-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X D73449 MI Primary

Addresses

Primary practice location

47758 Hickory St
22208
Wixom, MI 48393-2719

Mailing address

47758 Hickory St
22208
Wixom, MI 48393-2719
Phone (734) 512-6165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1669730701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47758 HICKORY ST",
            "address_2": "22208",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932719",
            "telephone_number": "734-512-6165",
            "fax_number": "248-246-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47758 HICKORY ST",
            "address_2": "22208",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932719",
            "telephone_number": "734-512-6165",
            "fax_number": "248-246-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND TRIP SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "TREMELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-512-6165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "D73449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.