Future Age Inc.

Primary specialty

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

License

185295 Issued in OH

Legal business name

FUTURE AGE INC.

Practice address

4299 Cranwood Pkwy
Cleveland, OH 44128-4087

Phone

(216) 475-1001

Fax

(216) 475-1132

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alan Groedel

Title

President

Phone

(216) 475-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Provide A Ride Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750417580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 CRANWOOD PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284087",
            "telephone_number": "216-475-1001",
            "fax_number": "216-475-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 CRANWOOD PKWY",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284087",
            "telephone_number": "216-475-1001",
            "fax_number": "216-475-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE AGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROEDEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-475-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "185295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provide A Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Ann Furwa, PA-C
• Carole W. Fuseck, MSN, RN, ACCNS-AG
• Celena Fussell, MD
• Cecelia Futch, LPC-CR
• Pragyat Futela
• Tatiana Sharie-Elaine Future
• Joshua Fye
• Kathryn Fyfe
• Sarah S. Fyffe
• Fyp 1421 LLC

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