Organization Active NPI

Prim Logistics Enterprise, LLC

  • Transportation Network Company
  • Euclid, OH
National Provider Identifier
1265185144
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
PRIM LOGISTICS ENTERPRISE, LLC
Practice address
25000 Euclid Ave Ste 401
Euclid, OH 44117-2645
Phone
(440) 720-4434
Fax
(937) 306-5240
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Ms. Ivory Wilson
Title
Director of Staff
Phone
(216) 532-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

25000 Euclid Ave Ste 401
Euclid, OH 44117-2645

Mailing address

25000 Euclid Ave Ste 401
Euclid, OH 44117-2645
Phone (440) 720-4434

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ashleynicole@withinreachsolutions.in

National Provider Directory

National Provider Directory

Locations

25000 Euclid Ave
Ste 401
Euclid, OH 44117
Phone (216) 417-3667

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1265185144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 401",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172645",
            "telephone_number": "440-720-4434",
            "fax_number": "937-306-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 401",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172645",
            "telephone_number": "440-720-4434",
            "fax_number": "937-306-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIM LOGISTICS ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "IVORY",
        "authorized_official_title_or_position": "DIRECTOR OF STAFF",
        "authorized_official_telephone_number": "216-532-4919",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashleynicole@withinreachsolutions.in",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25000 Euclid Ave",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441172644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.