NPIMap

Organization Active NPI

Common Courtesy Transportation, LLC

  • Land Ambulance
  • Cleveland, OH
National Provider Identifier
1437347945
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
187415 Issued in OH
Legal business name
COMMON COURTESY TRANSPORTATION, LLC
Practice address
2001 Alvin Ave
Cleveland, OH 44109-4615
Phone
(216) 288-3030
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mr. Frederick Mathis
Title
Owner
Phone
(216) 288-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 187415 OH Primary

Addresses

Primary practice location

2001 Alvin Ave
Cleveland, OH 44109-4615

Mailing address

2001 Alvin Ave
Cleveland, OH 44109-4615
Phone (216) 288-3030

Other identifiers 1

IdentifierTypeStateIssuer
2816402MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1437347945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ALVIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094615",
            "telephone_number": "216-288-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ALVIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094615",
            "telephone_number": "216-288-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON COURTESY TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-288-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "187415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2816402",
            "state": "OH"
        }
    ],
    "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 Jul 8, 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.