Amen Medical Transportation

Primary specialty

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

License

186795 Issued in OH

Legal business name

AMEN MEDICAL TRANSPORTATION

Practice address

4249 Bluestone Road
South Euclid, OH 44121

Phone

(216) 355-5151

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chizuruoke Obinna Udi

Title

Manager

Phone

(216) 355-5151

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790907855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 BLUESTONE ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-355-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 BLUESTONE ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-355-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEN MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDI",
        "authorized_official_first_name": "CHIZURUOKE",
        "authorized_official_middle_name": "OBINNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-355-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "186795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2720005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL TRANSP. BOAR",
            "identifier": "186795",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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