Custom Lift Transportation LLC

Primary specialty

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

Legal business name

CUSTOM LIFT TRANSPORTATION LLC

Practice address

15102 Sycamore Leaf LN
Cypress, TX 77429-7626

Phone

(832) 373-5117

NPI assigned

Dec 24, 2019

Last updated

Dec 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Spruce

Title

Cfo

Phone

(832) 373-5117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1962041814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15102 SYCAMORE LEAF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297626",
            "telephone_number": "832-373-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15102 SYCAMORE LEAF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297626",
            "telephone_number": "832-373-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM LIFT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "SPRUCE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-373-5117"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cypress, TX
• Providers in Cypress, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.