Organization Active NPI

Star Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Maple Heights, OH
National Provider Identifier
1316119266
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STAR MEDICAL TRANSPORTATION INC
Practice address
16004 Broadway Ave
Suite 206
Maple Heights, OH 44137-2557
Phone
(216) 659-6538
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Antwain Lorenzo Hamilton
Title
President
Phone
(216) 659-6538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X OH Primary

Addresses

Primary practice location

16004 Broadway Ave
Suite 206
Maple Heights, OH 44137-2557

Mailing address

16004 Broadway Ave
Suite 206
Maple Heights, OH 44137-2557
Phone (216) 659-6538

Other identifiers 1

IdentifierTypeStateIssuer
2709359MedicaidOH

National Provider Directory

National Provider Directory

Locations

16004 Broadway Ave
Ste 206
Maple Heights, OH 44137
Phone (216) 659-6538

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1316119266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16004 BROADWAY AVE",
            "address_2": "SUITE 206",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372557",
            "telephone_number": "216-659-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16004 BROADWAY AVE",
            "address_2": "SUITE 206",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372557",
            "telephone_number": "216-659-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ANTWAIN",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-659-6538"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2709359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.