Brookeside Ambulette, Inc.

Primary specialty

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

License

485055 Issued in OH

Legal business name

BROOKESIDE AMBULETTE, INC.

Practice address

255 Gradolph St
Toledo, OH 43612-1461

Phone

(419) 269-1660

Fax

(419) 269-1154

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Howard Schnabel

Title

Presidentowner

Phone

(419) 269-1660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497822100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GRADOLPH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121461",
            "telephone_number": "419-269-1660",
            "fax_number": "419-269-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GRADOLPH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121461",
            "telephone_number": "419-269-1660",
            "fax_number": "419-269-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKESIDE AMBULETTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNABEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENTOWNER",
        "authorized_official_telephone_number": "419-269-1660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "485055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0963159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Bronson III
• Quincy Brook-Grimes, LSW
• Todd Brookens, DO
• Nicole Brooker
• Brookeside Ambulance Service Inc
• Ernest Brookfield
• Amy Brooks
• Atiauna Brooks, LPN
• Brionne Brooks
• Constance Franchell Brooks, MSW, CDCA

• Non-emergency Medical Transport (VAN) in Toledo, OH
• Providers in Toledo, 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 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.