Active NPI
Modivcare Solutions, LLC
- Transportation Broker
- Saint Louis, MO
National Provider Identifier
1790250074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- MODIVCARE SOLUTIONS, LLC
- Practice address
- 1807 Park 270 Dr Ste 518
Saint Louis, MO 63146-4021 - Phone
- (866) 269-4717
- NPI assigned
- Oct 12, 2018
- Organization subpart
- Yes
- Parent organization
- MODIVCARE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Greenleaf
- Title
- President & Chief Executive Officer
- Phone
- (404) 888-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
1807 Park 270 Dr Ste 518
Saint Louis, MO 63146-4021
Mailing address
1275 Peachtree St NE FL 6
Atlanta, GA 30309-3580
Phone (404) 888-5826
Other names 1
- ModivCare Solutions LLC MO Dept Mental Health Reg 1
National Provider Directory
National Provider Directory- Tax ID family
- Logisticare Solutions LLC
- Part of
- Providence Human Services of Wa
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1790250074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 PEACHTREE ST NE FL 6",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093580",
"telephone_number": "404-888-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 PARK 270 DR STE 518",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464021",
"telephone_number": "866-269-4717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODIVCARE SOLUTIONS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MODIVCARE INC.",
"enumeration_date": "2018-10-12",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "GREENLEAF",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "404-888-5800"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ModivCare Solutions LLC MO Dept Mental Health Reg 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.