Bow Tie Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BOW TIE TRANSPORTATION, LLC

Practice address

18137 Dequindre St
Detroit, MI 48234-1201

Phone

(313) 978-5164

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Favors

Title

Owner

Phone

(313) 978-5164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1669909347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18137 DEQUINDRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341201",
            "telephone_number": "313-978-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18137 DEQUINDRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341201",
            "telephone_number": "313-978-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOW TIE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "FAVORS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-978-5164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winston Bourne, LPC
• Latoya Bournes
• David Lee Bouwman, MD
• Adrienne Nicole Bouyer, NURSE PRACTITIONER
• Karee Bovee
• Kasandra Bowden, RDH
• Antoinette Bowen-Debardelaben
• James Allen Bowen
• Khalid Bowens
• Ruby J. Bowens, LMSW, CSW

• Non-emergency Medical Transport (VAN) in Detroit, MI
• Providers in Detroit, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.