Provider Demographics
NPI:1134653710
Name:ELITE MEDICAL TRANSPORTATION SOLUTIONS
Entity Type:Organization
Organization Name:ELITE MEDICAL TRANSPORTATION SOLUTIONS
Other - Org Name:ELITE MEDICAL TRANSPORTATION SOLUTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:VEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-281-6000
Mailing Address - Street 1:1294 W 70TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2018
Mailing Address - Country:US
Mailing Address - Phone:216-281-6000
Mailing Address - Fax:888-789-4496
Practice Address - Street 1:3660 CENTER RD STE 360
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3620
Practice Address - Country:US
Practice Address - Phone:216-281-6000
Practice Address - Fax:888-789-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH180185343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)