Community Care on Wheels

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

765155 Issued in OH

Legal business name

COMMUNITY CARE ON WHEELS

Practice address

60 Kauffmans CRK
Clinton, OH 44216-8658

Phone

(330) 882-5506

Fax

(330) 882-5568

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy Marie Jacobs

Title

President

Phone

(330) 882-5506

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275669574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KAUFFMANS CRK",
            "city": "CLINTON",
            "state": "OH",
            "postal_code": "442168658",
            "telephone_number": "330-882-5506",
            "fax_number": "330-882-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 KAUFFMANS CRK",
            "city": "CLINTON",
            "state": "OH",
            "postal_code": "442168658",
            "telephone_number": "330-882-5506",
            "fax_number": "330-882-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-882-5506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "765155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER SERVICES",
            "identifier": "2702436",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Bolois
• Mary Lynne Boss, LPN
• Holly Buzzelli
• Vincent Buzzelli
• Suzanne Estella Carmichael, RN
• Community Transportation
• Courtesy Care
• Quentin Wayne Cowling, CDCA
• Clarence Anthony Curry, CDCA
• Kristine Kay Deeken, OTR

• Non-emergency Medical Transport (VAN) in Clinton, OH
• Providers in Clinton, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.