Provider Demographics
NPI:1073204319
Name:TRANSCARE DETROIT
Entity Type:Organization
Organization Name:TRANSCARE DETROIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MISS
Authorized Official - First Name:HALA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-330-9299
Mailing Address - Street 1:PO BOX 760487
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-0487
Mailing Address - Country:US
Mailing Address - Phone:248-809-1466
Mailing Address - Fax:248-556-3830
Practice Address - Street 1:17515 W 9 MILE RD STE 450
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4410
Practice Address - Country:US
Practice Address - Phone:313-330-9299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)