Provider Demographics
NPI:1962166314
Name:STARZ TRANSPORTATION INC
Entity type:Organization
Organization Name:STARZ TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RABEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAIBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-444-2927
Mailing Address - Street 1:27280 JOY RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-2369
Mailing Address - Country:US
Mailing Address - Phone:734-444-2927
Mailing Address - Fax:
Practice Address - Street 1:27280 JOY RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-2369
Practice Address - Country:US
Practice Address - Phone:734-444-2927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicaid