Providence Senior Transportation Inc.

Primary specialty

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

Legal business name

PROVIDENCE SENIOR TRANSPORTATION INC.

Practice address

4684 Massillon Rd
North Canton, OH 44720-1137

Phone

(855) 850-5555

Fax

(330) 899-9780

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Marty Ruegg

Title

Owner

Phone

(330) 361-1154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1992276620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 MASSILLON RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201137",
            "telephone_number": "855-850-5555",
            "fax_number": "330-899-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4684 MASSILLON RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201137",
            "telephone_number": "855-850-5555",
            "fax_number": "330-899-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SENIOR TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "RUEGG",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-361-1154"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerrice Shayonne Pue Baker
• Zoe Lin Pullar, DPT
• Kelsey Ann Puma

• Non-emergency Medical Transport (VAN) in North Canton, OH
• Providers in North Canton, 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 Dec 17, 2018; 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.