Provider Demographics
NPI:1013650282
Name:PERRY TRANSPORT AND RENTALS LLC
Entity Type:Organization
Organization Name:PERRY TRANSPORT AND RENTALS LLC
Other - Org Name:PERRY TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-477-8277
Mailing Address - Street 1:19320 DRESDEN
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-2132
Mailing Address - Country:US
Mailing Address - Phone:313-477-8277
Mailing Address - Fax:
Practice Address - Street 1:19320 DRESDEN
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-2132
Practice Address - Country:US
Practice Address - Phone:313-477-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347E00000XTransportation ServicesTransportation Broker
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========Medicaid
MI=========OtherMEDICARE