Provider Demographics
NPI:1104395698
Name:CARING HEARTS SENIOR TRANSPORATION LLC
Entity Type:Organization
Organization Name:CARING HEARTS SENIOR TRANSPORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-573-5114
Mailing Address - Street 1:782 KIRKWALL DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1767
Mailing Address - Country:US
Mailing Address - Phone:330-294-3400
Mailing Address - Fax:234-466-0261
Practice Address - Street 1:782 KIRKWALL DR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1767
Practice Address - Country:US
Practice Address - Phone:330-294-3400
Practice Address - Fax:234-466-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0278164Medicaid