Organization Active NPI

Queenphillycorp.

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
National Provider Identifier
1306608203
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
QUEENPHILLYCORP.
Practice address
13807 Union Ave
Cleveland, OH 44120-4520
Phone
(216) 482-0152
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Phyllis Michelle GillNPI 1023780491
Title
Transportation
Phone
(216) 482-0152

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 Primary

Addresses

Primary practice location

13807 Union Ave
Cleveland, OH 44120-4520

Mailing address

13807 Union Ave
Cleveland, OH 44120-4520
Phone (216) 482-0152

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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1306608203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 UNION AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204520",
            "telephone_number": "216-482-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 UNION AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204520",
            "telephone_number": "216-482-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENPHILLYCORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "TRANSPORTATION",
        "authorized_official_telephone_number": "216-482-0152"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 25, 2024; 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.