Active NPI
Theodius Hawkins
- Non-emergency Medical Transport (VAN)
- Inkster, MI
National Provider Identifier
1962885731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 28940 Birchwood St
Inkster, MI 48141-1112 - Phone
- (313) 829-7741
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
28940 Birchwood St
Inkster, MI 48141-1112
Mailing address
28940 Birchwood St
Inkster, MI 48141-1112
Phone (313) 829-7741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soaring Wings Transport Services | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Inkster, MI
- NPI 1366089534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1962885731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28940 BIRCHWOOD ST",
"city": "INKSTER",
"state": "MI",
"postal_code": "481411112",
"telephone_number": "313-829-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28940 BIRCHWOOD ST",
"city": "INKSTER",
"state": "MI",
"postal_code": "481411112",
"telephone_number": "313-829-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "THEODIUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.