National Provider Identifier Database

COSMICCARE
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

COSMICCARE
1033 SHANNON ST
ELIZABETH CITY, NC27909-6063
Phone: 816-489-2299
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Non-emergency Medical Transport (VAN) 343900000X
Taxi 344600000X

* Indicates primary specialty

NPI Profile & details for COSMICCARE

NPI Number 1366984833
Legal business name
LBN
COSMICCARE
Authorized official DEONTRAE SPRUILL - (MANAGER/ CREATOR)
Entity Organization
Organization subpart No
Enumeration date 11/15/2016
Last updated 11/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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