Michelle Henderson
Non-emergency Medical Transport (VAN) in Live Oak, FL. Individual provider (NPI-1).
NPI number1477029015
StatusActive
Last updated in NPPESMar 24, 2025
Details
- NPI
- 1477029015
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Henderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2018
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
100 Court St Se Ste 212Live Oak, FL 32064-3203
Phone 386-209-7649 · Fax 386-219-0222
Mailing address
424 Maple St SwLive Oak, FL 32064-3121
Phone 386-209-7649 · Fax 386-219-0222
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Non-emergency Medical Transport (VAN) providers in Live Oak · All 354 providers in Live Oak
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