Provider Demographics
NPI:1740090679
Name:HAWKS NO.1 SENIOR TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:HAWKS NO.1 SENIOR TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-948-7949
Mailing Address - Street 1:17910 VAN DYKE ST STE 1023
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3954
Mailing Address - Country:US
Mailing Address - Phone:947-948-7949
Mailing Address - Fax:
Practice Address - Street 1:17910 VAN DYKE ST UNIT 1023
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3954
Practice Address - Country:US
Practice Address - Phone:248-946-0497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)