Organization Active NPI

Peoples Ambulette Wheelchair Service Inc

  • Non-emergency Medical Transport (VAN)
  • Dayton, OH
National Provider Identifier
1457579526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
575015 Issued in OH
Legal business name
PEOPLES AMBULETTE WHEELCHAIR SERVICE INC
Practice address
3380 Successful Way
Dayton, OH 45414-4318
Phone
(937) 236-2700
Fax
(937) 236-7007
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andre F Jenkins
Title
General Manager
Phone
(937) 236-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 575015 OH Primary

Addresses

Primary practice location

3380 Successful Way
Dayton, OH 45414-4318

Mailing address

3380 Successful Way
Dayton, OH 45414-4318
Phone (937) 236-2700

Other identifiers 1

IdentifierTypeStateIssuer
2517315MedicaidOH

National Provider Directory

National Provider Directory

Locations

3380 Successful Way
Dayton, OH 45414
Phone (937) 236-2700

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457579526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 SUCCESSFUL WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144318",
            "telephone_number": "937-236-2700",
            "fax_number": "937-236-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 SUCCESSFUL WAY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144318",
            "telephone_number": "937-236-2700",
            "fax_number": "937-236-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES AMBULETTE WHEELCHAIR SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "937-236-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "575015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, 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.

Verify at the official NPI Registry.