Eastside Transportation of Michigan LLC

Primary specialty

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

Legal business name

EASTSIDE TRANSPORTATION OF MICHIGAN LLC

Practice address

22889 Beechwood Ave
Eastpointe, MI 48021-3546

Phone

(402) 637-6652

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Michael Williams

Title

Owner

Phone

(402) 637-6652

Specialties & licenses 1

Addresses

Other names 1

• Eastside Transportation of Michigan LLC Doing business as

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1679336325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22889 BEECHWOOD AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213546",
            "telephone_number": "402-637-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22889 BEECHWOOD AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213546",
            "telephone_number": "402-637-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE TRANSPORTATION OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-637-6652"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Transportation of Michigan LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Eastpointe, MI
• Providers in Eastpointe, 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 Feb 5, 2024; 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.