Full of Greats Transport LLC Fog Transport (NPI# 1124623970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1124623970 |
| Entity Type | Organization |
| Organization Name | FULL OF GREATS TRANSPORT LLC FOG TRANSPORT |
| Practice Address |
6609 W Brookhart Way Phoenix AZ 85083-7403 |
| Practice Telephone | 5053079984 |
| Practice Fax Number | 4807187714 |
| Mailing Address |
6609 W Brookhart Way Phoenix AZ 85083-7403 |
| Mailing Telephone | 5053079984 |
| Mailing Fax Number | 4807187714 |
| Authorized Official Name | Mrs. Tyrreia S Hurt (MEMBER) |
| Authorized Official Telephone | 5053079984 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-07 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1770122103 | Teodor Daniel Oprea | Non-emergency Medical Transport (VAN) | 514 E Morrow Dr, Phoenix, AZ 85024-2860 | 2020-01-02 |
| 1740827765 | Omer Mohamed | Non-emergency Medical Transport (VAN) | 1606 W Peoria Ave Apt 103, Phoenix, AZ 85029-5702 | 2019-12-09 |
| 1255977930 | Prince Med Trans LLC | Non-emergency Medical Transport (VAN) | 3834 W Golden Ln, Phoenix, AZ 85051-3759 | 2019-11-18 |
| 1730738915 | Shareef Daoud | Non-emergency Medical Transport (VAN) | 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021-5168 | 2019-09-10 |
| 1184273401 | Best Deal LLC | Non-emergency Medical Transport (VAN) | 4020 E Thomas Rd, Phoenix, AZ 85018-7514 | 2019-09-09 |
| 1972064228 | Medlift Inc. | Non-emergency Medical Transport (VAN) | 3311 E Washington St, Phoenix, AZ 85034-1609 | 2019-03-28 |
| Find all providers in PHOENIX | ||||
| Street Address |
6609 W BROOKHART WAY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85083-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042657 | Prestige Group Homes | Assisted Living Facility | 28001 N 31st Ave, Phoenix, AZ 85083 | 2017-09-28 |
| 1467702068 | Chirag Javia | Pharmacist | 5029 W. Buckskin Trail, Phoenix, AZ 85083 | 2012-09-12 |
| 1568944049 | Nicholas Ryan Wieferich | Pharmacist | 5450 W Happy Valley Rd, Phoenix, AZ 85083 | 2018-08-31 |
| 1992258743 | Andrew Jon Cefalo | Dentist | 25155 N 67th Ave Ste 142, Phoenix, AZ 85083 | 2016-07-28 |
| 1538643242 | Nel's Nest Assisted Living, LLC | Assisted Living Facility | 3655 W Dynamite Blvd, Phoenix, AZ 85083-0860 | 2018-09-18 |
| 1508211673 | Mansi Dave | Internal Medicine | 5164 W Quail Track Dr, Phoenix, AZ 85083-0863 | 2016-04-26 |
| 1043797905 | Kara A Fishgold | Nurse Practitioner | 6325 W Briles Rd, Phoenix, AZ 85083-1003 | 2018-07-24 |
| 1053455634 | Melanie O'rourke Speech Services, LLC | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2007-02-16 |
| 1538437538 | Melanie O'rourke | Speech-Language Pathologist | 6350 W Lariat Ln, Phoenix, AZ 85083-1004 | 2011-12-05 |
| 1508280496 | Stephen Wayne Champion | Registered Nurse | 25830 N 64th Ave, Phoenix, AZ 85083-1014 | 2014-02-12 |
| Find all providers in zip 85083 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.