Custom Care Transportation and Expedite Service

Primary specialty

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

License

166362 Issued in MI

Legal business name

CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE

Practice address

18701 Grand River Ave Ste 150
Detroit, MI 48223-2214

Phone

(313) 574-8889

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Stacy Pugh

Title

Owner

Phone

(313) 574-8889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1982151593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 GAND RIVER AVE STE 150",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 GRAND RIVER AVE STE 150",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232214",
            "telephone_number": "313-574-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-574-8889"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "166362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Curtis, PHARM.D.
• Daniel Cuschieri
• Barbara Ann Cushing, MD
• Terra Lee Cushman, R.N., BSN., CDE
• Crystal Nicole Cusin, AGACNP
• Paul Cusumano, LLMSW
• Salvatore Russell Cutino, DDS
• Melina Cutright, LMSW
• Louan Cuzzort, MD
• Dimitar X Cvetkoski, M.D.

• Non-emergency Medical Transport (VAN) in Detroit, MI
• Providers in Detroit, 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 1, 2016; 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.