Pacalo LLC

Primary specialty

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

Legal business name

PACALO LLC

Practice address

1806 Pier Way
Bloomington, IL 61704-9517

Phone

(614) 962-2328

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arnold RuzvidzoNPI 1386308252

Title

Owner

Phone

(614) 962-2328

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arnold Ruzvidzo

  • Non-emergency Medical Transport (VAN)
  • Bloomington, IL
  • NPI 1386308252
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1689339004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PIER WAY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 PIER WAY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049517",
            "telephone_number": "614-962-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACALO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "RUZVIDZO",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-962-2328"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis Allen MD SC
• Dionne Marie Otto, DOULA, LCCE, CLC
• Constance D Owens-Mooney, LCPC
• Angelina C Owens
• Caroline Owens, DMD
• Jacob Bradley Page, A.C.N.P.
• Paige C Holt, MD, LTD
• Paige C. Holt
• Andrea Palmer, OTD
• N'Dia Palmore

• Non-emergency Medical Transport (VAN) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.