Organization Active NPI

Ksim 'LLC'

  • Non-emergency Medical Transport (VAN)
  • Euclid, OH
National Provider Identifier
1033352786
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
RP928998 Issued in OH
Legal business name
KSIM 'LLC'
Practice address
27300 Euclid Ave Apt 2
Euclid, OH 44132-3405
Phone
(216) 780-3204
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Mr. Mark A Davis
Title
Owner
Phone
(216) 772-7187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X RP928998 OH Primary

Addresses

Primary practice location

27300 Euclid Ave Apt 2
Euclid, OH 44132-3405

Mailing address

27300 Euclid Ave Apt 2
Euclid, OH 44132-3405
Phone (216) 780-3204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1033352786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27300 EUCLID AVE APT 2",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323405",
            "telephone_number": "216-780-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27300 EUCLID AVE APT 2",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323405",
            "telephone_number": "216-780-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSIM 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-772-7187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "RP928998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.