Prince C Ugwu Sr., NEMT

Primary specialty

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

License

202113500840 Issued in OH

Practice address

19412 Gardenview Dr
Maple Heights, OH 44137-2342

Phone

(216) 505-3187

NPI assigned

Jul 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Extol Haven Home Care LLC

  • In Home Supportive Care Agency
  • Beachwood, OH
  • NPI 1437974219

  Non-Emergency Medical Transport (Van)

  NPD Authorized official
• Divine Care Transport

  • Transportation Network Company
  • Maple Heights, OH
  • NPI 1508663568
  NPD

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1083285514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19412 GARDENVIEW DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372342",
            "telephone_number": "216-505-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19412 GARDENVIEW DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372342",
            "telephone_number": "216-505-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWU",
        "first_name": "PRINCE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "NEMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "202113500840",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "202113500840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Tuma, CT BA
• Darniyah Keasya Turner I
• Amber Tye
• Tyline M. Hood
• Brittany Tyson
• Unbounded Living, LLC
• Renae Ann Unger
• United America Transportation LLC
• Unity Medical Transportation LLC
• Kanisha Upshaw

• Non-emergency Medical Transport (VAN) in Maple Heights, OH
• Providers in Maple Heights, 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 Nov 14, 2024; 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.