NPIMap

Organization Active NPI

Divine Transport Service LLC

  • Non-emergency Medical Transport (VAN)
  • Reynoldsburg, OH
National Provider Identifier
1235660630
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
235055 Issued in OH
Legal business name
DIVINE TRANSPORT SERVICE LLC
Practice address
7306 Cook Farm Dr
Reynoldsburg, OH 43068-7074
Phone
(614) 638-3466
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Mr. Kwaku BonsuNPI 1467890509
Title
Owner
Phone
(614) 638-3466

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 235055 OH Primary

Addresses

Primary practice location

7306 Cook Farm Dr
Reynoldsburg, OH 43068-7074

Mailing address

7306 Cook Farm Dr
Reynoldsburg, OH 43068-7074

Other identifiers 1

IdentifierTypeStateIssuer
0151757MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1235660630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 COOK FARM DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 COOK FARM DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687074",
            "telephone_number": "614-638-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRANSPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BONSU",
        "authorized_official_first_name": "KWAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-638-3466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "235055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151757",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.