Active NPI
Antwon L Slocum Jr.
- Non-emergency Medical Transport (VAN)
- Warren, OH
National Provider Identifier
1831088558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- VA456097
- Practice address
- 1762 Cranberry LN NE Apt 174
Warren, OH 44483-3633 - Phone
- (234) 863-8072
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VA456097 | OH | |
| Private Vehicle | 347C00000X | VA456097 | OH | |
| Non-emergency Medical Transport (VAN) | 343900000X | VA456097 | OH | Primary |
Addresses
Primary practice location
1762 Cranberry LN NE Apt 174
Warren, OH 44483-3633
Mailing address
1762 Cranberry LN NE Apt 174
Warren, OH 44483-3633
Phone (234) 863-8072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA456097 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1831088558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 CRANBERRY LN NE APT 174",
"city": "WARREN",
"state": "OH",
"postal_code": "444833633",
"telephone_number": "234-863-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 CRANBERRY LN NE APT 174",
"city": "WARREN",
"state": "OH",
"postal_code": "444833633",
"telephone_number": "234-863-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOCUM",
"first_name": "ANTWON",
"middle_name": "L",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "VA456097",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "VA456097",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "VA456097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.