Organization Active NPI

L.I.S. Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Maple Heights, OH
National Provider Identifier
1447712500
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
L.I.S. TRANSPORTATION LLC
Practice address
15010 Lisa Dr
Maple Heights, OH 44137-4168
Phone
(216) 399-1016
Fax
(216) 713-0205
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Mrs. Gretchen J. Silva-Glenn
Title
Ceo
Phone
(216) 399-1016

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

15010 Lisa Dr
Maple Heights, OH 44137-4168

Mailing address

15010 Lisa Dr
Maple Heights, OH 44137-4168
Phone (216) 399-1016

Other identifiers 1

IdentifierTypeStateIssuer
0341070MedicaidOH

National Provider Directory

National Provider Directory

Locations

15720 Lorain Ave
Cleveland, OH 44111
Phone (216) 970-6072

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1447712500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 LISA DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374168",
            "telephone_number": "216-399-1016",
            "fax_number": "216-713-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 LISA DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374168",
            "telephone_number": "216-399-1016",
            "fax_number": "216-713-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.S. TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "SILVA-GLENN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-399-1016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341070",
            "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 Mar 8, 2021; 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.