Cisse Enterprise LLC

Primary specialty

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

Legal business name

CISSE ENTERPRISE LLC

Practice address

3112 Balsamridge Dr
Cincinnati, OH 45239-7102

Phone

(513) 602-4526

NPI assigned

May 10, 2018

Organization subpart

Yes

Parent organization

SUPREME TRANSPORTATION SYSTEMAs reported in NPPES

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

Authorized official

Name

Bouba Cisse

Title

Ceo

Phone

(513) 487-9940

Specialties & licenses 2

Addresses

Part of

Cisse Enterprise LLC

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1669962114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11215",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452110215",
            "telephone_number": "513-602-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 BALSAMRIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397102",
            "telephone_number": "513-602-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISSE ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPREME TRANSPORTATION SYSTEM",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "BOUBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-487-9940"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "OH",
            "license": "638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Circle
• Jacob Anthony Ciricillo, MD
• Aubrey Ciriello, PHARM.D.
• Carly Cirillo, DPT
• Elizabeth R Cirillo, CNM
• David Citron
• Michael Joseph Cittadino, CNP
• City Dermatology and Laser
• City of Cheviot Auditor
• City of Cincinnati

• Non-emergency Medical Transport (VAN) in Cincinnati, OH
• Providers in Cincinnati, 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 May 10, 2018; 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.