Organization Active NPI

Midwest Livery LLC

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1194358622
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MIDWEST LIVERY LLC
Practice address
2025 S High St
Columbus, OH 43207-2426
Phone
(614) 530-4561
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Adnan Moueimne
Title
President
Phone
(613) 397-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

2025 S High St
Columbus, OH 43207-2426

Mailing address

929 Normandy Trace Rd
Tampa, FL 33602-5921
Phone (613) 397-1800

Other identifiers 1

IdentifierTypeStateIssuer
0308621MedicaidOH

Other names 1

  • SAW Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

2025 S High St
Columbus, OH 43207
Phone (614) 397-1800

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1194358622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 NORMANDY TRACE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025921",
            "telephone_number": "613-397-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432072426",
            "telephone_number": "614-530-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST LIVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MOUEIMNE",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "613-397-1800"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAW Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.