Forever Young Medical Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FOREVER YOUNG MEDICAL TRANSPORTATION, LLC

Practice address

4675 E 153Rd St
Cleveland, OH 44128-3014

Phone

(216) 235-3473

NPI assigned

Aug 13, 2010

Organization subpart

Yes

Parent organization

FOREVER YOUNG TRANSPORTATION, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Latisha Monique Gatson

Title

President

Phone

(216) 235-3473

Specialties & licenses 1

Addresses

Part of

Forever Young Medical Transportation LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1003121179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 E 153RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 E 153RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283014",
            "telephone_number": "216-235-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOREVER YOUNG TRANSPORTATION, LLC",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "GATSON",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-235-3473",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Forgotten Faces

• Non-emergency Medical Transport (VAN) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.