Tivan LLC

Primary specialty

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

Legal business name

TIVAN LLC

Practice address

5821 Williamsburg Dr.
Lorain, OH 44053

Phone

(513) 719-3090

Fax

(513) 454-6705

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Thomas Odafe

Title

Manager

Phone

(513) 719-3090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1285279802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 WATERSTONE BLVD, STE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-719-3090",
            "fax_number": "513-454-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 WILLIAMSBURG DR.",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "513-719-3090",
            "fax_number": "513-454-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "ODAFE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-719-3090"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Thornton
• Kinesia Thorpe
• Brian Roger Tibbetts
• Chandler Terrell Tillman, PEER SUPPORT
• Tracey Tite, RPH
• Sharon L. Tomaszewski, MSW-LISW-S
• Jessica Carlene Tomazic, MD
• Cristal Denise Tomblin, M.D.
• Ashley Ann Tomco, LSW
• Jessica Danielle Toothman, LSW

• Non-emergency Medical Transport (VAN) in Lorain, OH
• Providers in Lorain, 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 Nov 7, 2019; 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.