Organization Active NPI

Amistad Heritage LLC

  • Transportation Broker
  • Cleveland, OH
National Provider Identifier
1134734759
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
AMISTAD HERITAGE LLC
Doing business as
Amistad Heritage LLC
Practice address
17325 Euclid Ave Ste 2007
Cleveland, OH 44112-1250
Phone
(216) 346-0472
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Mr. Peter A Adalikwu
Title
Ceo
Phone
(216) 346-4072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

17325 Euclid Ave Ste 2007
Cleveland, OH 44112-1250

Mailing address

2400 Orange Avenue, PO Box 94053
Cleveland, OH 44101
Phone (216) 346-4072

Other names 1

  • Amistad Heritage LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Orange Ave
Unit 94053
Cleveland, OH 44101

17325 Euclid Ave
Ste 2007
Cleveland, OH 44112
Phone (216) 346-0472

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1134734759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ORANGE AVENUE, PO BOX 94053",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44101",
            "telephone_number": "216-346-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 2007",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121250",
            "telephone_number": "216-346-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD HERITAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "ADALIKWU",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-346-4072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amistad Heritage LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.