OrganizationActive
Statewide Transportation Services LLC
NPI 1134877715 · Non-emergency Medical Transport (VAN) · Portage, MI
Provider details
- NPI number
- 1134877715
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Amon Pangalala, Ceo(234) 788-5311
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5679 Alten St
Portage, MI 49024-9504
Phone: (234) 788-5311
Street-level locationGet directions
Mailing address
5679 Alten St
Portage, MI 49024-9504
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.