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COSMICCARE
NPI 1366984833
Private Vehicle in Elizabeth City, NC

Active since November 15, 2016
1033 SHANNON ST, ELIZABETH CITY, NC 27909(816) 489-2299 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cosmiccare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMICCARE (NPI 1366984833) is a healthcare organization registered as a private vehicle in Elizabeth City, North Carolina and active in the NPI registry since November 2016. The organization lists Deontrae Javon Spruill, Manager/ Creator, as its authorized official.

NPPES Registry Identity

NPI1366984833
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameCOSMICCARE
Location Address1033 SHANNON STElizabeth City, NC 27909-6063
Mailing Address1033 Shannon StElizabeth City, NC 27909-6063 · (816) 489-2299
Phone(816) 489-2299
Organization SubpartNo
Authorized OfficialDeontrae Javon SpruillManager/ Creator · (816) 489-2299
Enumeration DateNovember 15, 2016
✔ NPI 1366984833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedTaxiTaxonomy 344600000X
1033 SHANNON ST, Elizabeth City, NC 27909
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEONTRAE SPRUILL
Private Vehicle
1033 SHANNON ST
ELIZABETH CITY, NC 27909
Pasquotank County (816) 489-2299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmiccare's NPI number?

The NPI number for Cosmiccare is 1366984833. It was assigned to this organization in the NPPES registry on November 15, 2016.

Where is Cosmiccare located?

Cosmiccare is located at 1033 Shannon St, Elizabeth City, NC 27909. The listed phone number is (816) 489-2299.

What is Cosmiccare's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Cosmiccare was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.