NPIMap

Organization Active NPI

Premier Express Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
National Provider Identifier
1295470458
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PREMIER EXPRESS TRANSPORT LLC
Practice address
782 E 130TH St
Cleveland, OH 44108-2544
Phone
(440) 941-3763
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Tedra JacksonNPI 1255211447
Title
Ceo
Phone
(440) 941-3763

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Taxi 344600000X
Private Vehicle 347C00000X

Addresses

Primary practice location

782 E 130TH St
Cleveland, OH 44108-2544

Mailing address

782 E 130TH St
Cleveland, OH 44108-2544
Phone (440) 941-3763

National Provider Directory

National Provider Directory

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": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1295470458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 E 130TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082544",
            "telephone_number": "440-941-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 E 130TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082544",
            "telephone_number": "440-941-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EXPRESS TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TEDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-941-3763"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 4, 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.