Legacy Medical Transportation

Primary specialty

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

Legal business name

LEGACY MEDICAL TRANSPORTATION

Practice address

18701 Mohawk Ave
Cleveland, OH 44119-2106

Phone

(216) 463-1565

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Gregoria Lora

Title

Director

Phone

(856) 832-7014

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1003553256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 MOHAWK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192106",
            "telephone_number": "216-463-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 MOHAWK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192106",
            "telephone_number": "216-463-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "GREGORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-832-7014"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Legacymedicaltransport@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Residential address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18701 Mohawk Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441192106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Legacy North Royalton Operating Company, LLC
• Emily Legan, CNP
• Jacob Legan, DAT, ATC
• Kimberlee Legarth, RN
• Legend Treatment Center of Cleveland, LLC

• 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 May 18, 2022; 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.