Organization Active NPI

PBC Transportation & Hauling LLC

  • Private Vehicle
  • Cleveland Heights, OH
National Provider Identifier
1013481365
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
PBC TRANSPORTATION & HAULING LLC
Practice address
950 Whitby Rd
Cleveland Heights, OH 44112-2348
Phone
(216) 334-0494
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Mr. Terrell Cliff Gardner, DET, SUMMA CUM LAUDE
Title
Owner/Ceo
Phone
(216) 334-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

950 Whitby Rd
Cleveland Heights, OH 44112-2348

Mailing address

950 Whitby Rd
Cleveland Heights, OH 44112-2348
Phone (216) 334-0494

Other identifiers 1

IdentifierTypeStateIssuer
46-1206184MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1013481365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WHITBY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441122348",
            "telephone_number": "216-334-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WHITBY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441122348",
            "telephone_number": "216-334-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC TRANSPORTATION & HAULING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "216-334-0494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DET, SUMMA CUM LAUDE"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-1206184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.