Elite Medical Transport of Mansfield LLC

Primary specialty

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

Legal business name

ELITE MEDICAL TRANSPORT OF MANSFIELD LLC

Practice address

165 Marion Ave
Mansfield, OH 44903-2223

Phone

(419) 566-9611

Fax

(419) 747-9298

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edward Grove

Title

President

Phone

(419) 566-9611

Specialties & licenses 1

Addresses

Tax ID family

Elite Medical Transport of Mansfield LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Medical Transport of Mansfield LLC

  • Non-emergency Medical Transport (VAN)
  • Mansfield, OH
  • NPI 1528445517
  NPD tax ID

Locations

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1053911958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032223",
            "telephone_number": "419-566-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032223",
            "telephone_number": "419-566-9611",
            "fax_number": "419-747-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL TRANSPORT OF MANSFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-566-9611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella E Elder, NP
• Kathryn Elgin
• Cynthia Elhendawi
• Michael Elias, M.D.
• Elite Home Health Services of Mansfield LLC
• Elite Medical Transport of Mansfield LLC
• Jennifer L Elliott, RN
• Stacy L Elliott
• William R Elliott, MD
• Cayci Lynn Elswick

• Non-emergency Medical Transport (VAN) in Mansfield, OH
• Providers in Mansfield, 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 Oct 29, 2020; 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.