Organization Active NPI

Laketran

  • Non-emergency Medical Transport (VAN)
  • Painesville, OH
National Provider Identifier
1083864086
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LAKETRAN
Practice address
555 Lakeshore Blvd
Painesville, OH 44077-1121
Phone
(440) 350-1000
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Mr. Andy Altenweg
Title
Deputy General Manager
Phone
(440) 350-1017

Specialties & licenses 1

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

Addresses

Primary practice location

555 Lakeshore Blvd
Painesville, OH 44077-1121

Mailing address

555 Lakeshore Blvd
Painesville, OH 44077-1121
Phone (440) 350-1000

Other identifiers 1

IdentifierTypeStateIssuer
2804906MedicaidOH

National Provider Directory

National Provider Directory

Locations

555 Lakeshore Blvd
Painesville, OH 44077
Phone (440) 350-1000

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1083864086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 LAKESHORE BLVD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771121",
            "telephone_number": "440-350-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAKESHORE BLVD",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771121",
            "telephone_number": "440-350-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKETRAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "ALTENWEG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "DEPUTY GENERAL MANAGER",
        "authorized_official_telephone_number": "440-350-1017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.