Active NPI
Medicab
- Non-emergency Medical Transport (VAN)
- Lansing, MI
National Provider Identifier
1750909768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MEDICAB
- Practice address
- 3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600 - Phone
- (517) 481-6270
- NPI assigned
- Jul 7, 2020
- Last updated
- Jul 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricardo D Tillery, MBA, LCSW, SAP
- Title
- Ceo
- Phone
- (517) 703-3387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Medical Foods Supplier | 335G00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Taxi | 344600000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Mailing address
3721 W Michigan Ave Ste 200
Lansing, MI 48917-3600
Phone (517) 481-6270
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1528380623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1750909768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 W MICHIGAN AVE STE 200",
"city": "LANSING",
"state": "MI",
"postal_code": "489173600",
"telephone_number": "517-481-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 W MICHIGAN AVE STE 200",
"city": "LANSING",
"state": "MI",
"postal_code": "489173600",
"telephone_number": "517-481-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAB",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "TILLERY",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "517-703-3387",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, LCSW, SAP"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
- Kija Noelle Meads, PHARMD
- John W Meara Jr., DDS
- Deborah Mears, LMSW
- Carol S Medawar, CMHC INTERN
- Trisha Meddaugh, PTA
- Medical Ambulatory Services for Health PC (Delta Medical Center Urgent Care Center)
- Medical Ambulatory Services for Health PC (Delta Medical Center)
- Medical Ambulatory Services for Health PC (Delta Medical Center)
- Medical Observation Services, PLLC
- Medical Oncology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.