Organization Active NPI

Nordstar Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Blacklick, OH
National Provider Identifier
1114153111
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
256415 Issued in OH
Legal business name
NORDSTAR MEDICAL TRANSPORTATION, LLC
Practice address
1659 Morrison Farms Dr
Blacklick, OH 43004-9093
Phone
(614) 370-2207
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Vincent Leke
Title
Ceo
Phone
(614) 370-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 256415 OH Primary

Addresses

Primary practice location

1659 Morrison Farms Dr
Blacklick, OH 43004-9093

Mailing address

1659 Morrison Farms Dr
Blacklick, OH 43004-9093
Phone (614) 370-2207

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1114153111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 MORRISON FARMS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049093",
            "telephone_number": "614-370-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 MORRISON FARMS DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049093",
            "telephone_number": "614-370-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTAR MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "LEKE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-370-2207"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "256415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacklick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.