Active NPI
University Hospitals Critical Care Transport LLC
- Ambulance
- Shaker Heights, OH
National Provider Identifier
1366164105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- UNIVERSITY HOSPITALS CRITICAL CARE TRANSPORT LLC
- Practice address
- 3605 Warrensville Center Rd
Shaker Heights, OH 44122-5203 - Phone
- (216) 286-0111
- NPI assigned
- Sep 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Gallucci
- Title
- VP Chief Accounting Officer
- Phone
- (440) 382-7894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3605 Warrensville Center Rd
Shaker Heights, OH 44122-5203
Mailing address
PO Box 772930
Detroit, MI 48277-2930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service | Other | Waystar Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230511001838 | OH | Part B Supplier - Ambulance Service Supplier | 2365808680 | Practice locations: Jefferson, OH; Ravenna, OH; Maple HTS, OH; Chardon, OH; Avon, OH |
National Provider Directory
National Provider DirectoryLocations
1997 Healthway Dr
Avon, OH 44011
Phone (440) 329-7720
2382 Airport Rd
Hngr G
Jefferson, OH 44047
Phone (440) 992-1331
7630 First Pl
#B
Oakwood Village, OH 44146
Phone (216) 765-2855
4039 Nanway Blvd
Ravenna, OH 44266
Phone (330) 297-2899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1366164105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772930",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 WARRENSVILLE CENTER RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225203",
"telephone_number": "216-286-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HOSPITALS CRITICAL CARE TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-19",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "GALLUCCI",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "VP CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "440-382-7894"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "Waystar Health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shaker Heights, OH
- Andreial Special Tyson
- Kathleen Ann Uehlein, PC
- Unity Kemetic Agency Fo Developmentally Disabled LLC
- Universal Trucking Logistics
- University Hospitals Coordinated Care
- University Hospitals Health System
- University Hospitals Regional Practices LLC
- University Primary Care Practices Inc
- Unlimited Services,Inc.
- Jessica Uppin, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.