Active NPI
Lakefront Transportation Inc.
- Non-emergency Medical Transport (VAN)
- Cleveland Heights, OH
National Provider Identifier
1841856846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- LAKEFRONT TRANSPORTATION INC.
- Practice address
- 5 Severance Cir Ste 502
Cleveland Heights, OH 44118-1588 - Phone
- (216) 702-4415
- Fax
- (216) 472-8521
- NPI assigned
- May 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlon Leron Owens
- Title
- Ceo
- Phone
- (216) 702-4415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
5 Severance Cir Ste 502
Cleveland Heights, OH 44118-1588
Mailing address
5 Severance Cir Ste 502
Cleveland Heights, OH 44118-1588
Phone (216) 702-4415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0271829 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
5 Severance Cir
Ste 502
Cleveland Heights, OH 44118
Phone (216) 702-4415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562716800000",
"number": "1841856846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIR STE 502",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181588",
"telephone_number": "216-702-4415",
"fax_number": "216-472-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIR STE 502",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181588",
"telephone_number": "216-702-4415",
"fax_number": "216-472-8521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEFRONT TRANSPORTATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-15",
"last_updated": "2019-07-10",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "MARLON",
"authorized_official_middle_name": "LERON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-702-4415"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0271829",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.