Lemlem Hailesilassie Gizaw

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

309 Wildbrook LN
Lima, OH 45807-1989

Phone

(404) 514-3694

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope & Grace Transport

  • Non-emergency Medical Transport (VAN)
  • Lima, OH
  • NPI 1780363648
  NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1396423034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WILDBROOK LN",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071989",
            "telephone_number": "404-514-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WILDBROOK LN",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071989",
            "telephone_number": "404-514-3694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3146 Sterlingwood Ln",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435512188",
            "country_code": "US",
            "telephone_number": "720-345-7728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3213 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436081752",
            "country_code": "US",
            "telephone_number": "216-650-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIZAW",
        "first_name": "LEMLEM",
        "middle_name": "HAILESILASSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cybill Chariss Gillette, R.N.
• Chad Gillis, DC
• John Allen Gillis, DC
• Adelynn Gipson
• Kamran Gitiban, PH.D, LPCC
• Cathy C Gladfelter, DIETICIAN
• Kyle Christopher Glasgow, PHARM.D., RPH
• Glen F. Strobel, PH.D., LLC
• Amonte Jayveon Glenn
• Derry Glenn, DR

• Non-emergency Medical Transport (VAN) in Lima, OH
• Providers in Lima, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.