Great Guardian Transportation LLC

Primary specialty

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

Legal business name

GREAT GUARDIAN TRANSPORTATION LLC

Practice address

4021 Nichols Rd
Kalamazoo, MI 49004-3107

Phone

(269) 906-5370

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Dallas Darius Wilkins

Title

Owner

Phone

(269) 906-5370

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1922581511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 NICHOLS RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490043107",
            "telephone_number": "269-906-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 NICHOLS RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490043107",
            "telephone_number": "269-906-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT GUARDIAN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "DARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-906-5370"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8416576",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Graves
• Tammy O Graves, DO
• Emily Carol Gray, LLPC
• Jacob Gray
• Pamela Gray, MA
• Greater Heights Afc
• Frederick G Greaves, EDD
• Jill Ann Green-Brown, MA, LLP
• Calvin Green, BA
• Jae Michael Green, PA-C

• Non-emergency Medical Transport (VAN) in Kalamazoo, MI
• Providers in Kalamazoo, 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 Sep 11, 2018; 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.