Father Abraham Transport Inc

Primary specialty

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

License

S761924 Issued in OH

Legal business name

FATHER ABRAHAM TRANSPORT INC

Practice address

25370 Glenbrook Blvd
Euclid, OH 44117-1818

Phone

(216) 235-4425

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Reginald E. Mack

Title

Owner

Phone

(216) 235-4425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1083927370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25370 GLENBROOK BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171818",
            "telephone_number": "216-235-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25370 GLENBROOK BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171818",
            "telephone_number": "216-235-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER ABRAHAM TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-235-4425"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "S761924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.