Organization Active NPI

RV Provider Agency LLC

  • Private Vehicle
  • Garfield Heights, OH
National Provider Identifier
1154922607
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
RV PROVIDER AGENCY LLC
Practice address
4497 Martin Luther King Jr Blvd
Garfield Heights, OH 44105-6947
Phone
(216) 355-1306
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Ruth Lowe-GibsonNPI 1497394282
Title
Owner
Phone
(216) 355-1306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

4497 Martin Luther King Jr Blvd
Garfield Heights, OH 44105-6947

Mailing address

4497 Martin Luther King Jr Blvd
Garfield Heights, OH 44105-6947

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1154922607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 MARTIN LUTHER KING JR BLVD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441056947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 MARTIN LUTHER KING JR BLVD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441056947",
            "telephone_number": "216-355-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV PROVIDER AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "LOWE-GIBSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-355-1306"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.