NPIMap

Organization Active NPI

Blaze Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Toledo, OH
National Provider Identifier
1962912949
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
RM428113 Issued in OH
Legal business name
BLAZE TRANSPORTATION LLC
Practice address
2829 Tremainsville Rd Apt 103
Toledo, OH 43613-5335
Phone
(419) 377-3620
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Mrs. Drucilla Simpson
Title
Owner
Phone
(419) 377-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X RM428113 OH Primary

Addresses

Primary practice location

2829 Tremainsville Rd Apt 103
Toledo, OH 43613-5335

Mailing address

2829 Tremainsville Rd Apt 103
Toledo, OH 43613-5335
Phone (419) 377-3620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1962912949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 TREMAINSVILLE RD APT 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135335",
            "telephone_number": "419-377-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 TREMAINSVILLE RD APT 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135335",
            "telephone_number": "419-377-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "DRUCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-377-3620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "RM428113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.