Organization Active NPI

Evans City-Wide Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
National Provider Identifier
1194460402
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EVANS CITY-WIDE TRANSPORTATION LLC
Practice address
2209 E 36TH St
Cleveland, OH 44115-3004
Phone
(216) 609-5032
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Marlene J Evans
Title
General Manager
Phone
(216) 609-5031

Specialties & licenses 1

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

Addresses

Primary practice location

2209 E 36TH St
Cleveland, OH 44115-3004

Mailing address

2209 E 36TH St
Cleveland, OH 44115-3004
Phone (216) 609-5032

Other identifiers 1

IdentifierTypeStateIssuer
0457363MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL evanscitywidetransportationllc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Evans City-Wide Transportation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1194460402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E 36TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153004",
            "telephone_number": "216-609-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 E 36TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153004",
            "telephone_number": "216-609-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CITY-WIDE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "216-609-5031"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457363",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evanscitywidetransportationllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "evanscitywidetransportationllc@gmail.com",
            "address_1": "2209 E 36th St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 May 2, 2022; 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.