Distinctive Care Transportation Company

Primary specialty

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

License

41488300 Issued in WI

Legal business name

DISTINCTIVE CARE TRANSPORTATION COMPANY

Practice address

6621 N Yuba St
Milwaukee, WI 53223-5759

Phone

(414) 406-1438

Fax

(414) 353-5633

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenny E SamuelNPI 1245467554

Title

Partner

Phone

(414) 406-1438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenny E Samuel

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1245467554
  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1750566543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 090374",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532090374",
            "telephone_number": "414-406-1438",
            "fax_number": "414-353-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 N YUBA ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235759",
            "telephone_number": "414-406-1438",
            "fax_number": "414-353-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE CARE TRANSPORTATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-406-1438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41488300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Practice Management, Inc.
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• Discovery Research International
• Acacia Frances Dishman, PHD
• Patrick Jay Disterhaft Jr., DO, MPH
• Dana Ditorrice
• Sara Dittl, LPC
• Marissa Dittmer, PHARMD
• Robert A. Diulio, M.D.
• Diverse Care Services LLC

• Non-emergency Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.