Active NPI
Ideis Transportaion
- Non-emergency Medical Transport (VAN)
- Cleveland, OH
National Provider Identifier
1376768689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 185755
- Legal business name
- IDEIS TRANSPORTAION
- Practice address
- 3615 Superior Ave E
Suite 3101-E
Cleveland, OH 44114-4138 - Phone
- (216) 244-5102
- Fax
- (216) 361-9797
- NPI assigned
- Apr 13, 2007
- 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
- Mr. Nidal I Ideis
- Title
- Owner
- Phone
- (216) 244-5102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 185755 | OH | Primary |
Addresses
Primary practice location
3615 Superior Ave E
Suite 3101-E
Cleveland, OH 44114-4138
Mailing address
3615 Superior Ave E
Suite 3101-E
Cleveland, OH 44114-4138
Phone (216) 244-5102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2614184 | Medicaid | OH |
Other names 1
- ON TIME MOBILITY
National Provider Directory
National Provider DirectoryLocations
3615 Superior Ave
Ste 3101E
Cleveland, OH 44114
Phone (216) 244-5102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376768689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 SUPERIOR AVE E",
"address_2": "SUITE 3101-E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441144138",
"telephone_number": "216-244-5102",
"fax_number": "216-361-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 SUPERIOR AVE E",
"address_2": "SUITE 3101-E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441144138",
"telephone_number": "216-244-5102",
"fax_number": "216-361-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEIS TRANSPORTAION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IDEIS",
"authorized_official_first_name": "NIDAL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-244-5102",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "185755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2614184",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ON TIME MOBILITY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.