Organization Active NPI

City of Maple Heights

  • Land Ambulance
  • Maple Heights, OH
National Provider Identifier
1154415800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF MAPLE HEIGHTS
Practice address
5520 Warrensville Center Road
Maple Heights, OH 44137-3126
Phone
(216) 587-9093
Fax
(216) 587-9055
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathie Defrancesco
Title
Billing
Phone
(216) 587-9093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5520 Warrensville Center Road
Maple Heights, OH 44137-3126

Mailing address

5520 Warrensville Center Road
Maple Heights, OH 44137-3126
Phone (216) 587-9093

Other identifiers 3

IdentifierTypeStateIssuer
0739802MedicaidOH
000000155995OtherOHBLUE CROSS BLUE SHIELD
OTH000OtherOHAMBULANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000288 OH Part B Supplier - Ambulance Service Supplier 2365481835 Practice locations: Maple Heights, OH

National Provider Directory

National Provider Directory

Locations

5520 Warrensville Center Rd
Maple Heights, OH 44137
Phone (216) 587-9093

5720 Dunham Rd
Maple Heights, OH 44137
Phone (216) 662-6000

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154415800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 WARRENSVILLE CENTER ROAD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373126",
            "telephone_number": "216-587-9093",
            "fax_number": "216-587-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 WARRENSVILLE CENTER ROAD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373126",
            "telephone_number": "216-587-9093",
            "fax_number": "216-587-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MAPLE HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFRANCESCO",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "216-587-9093"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739802",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000155995",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "OTH000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.