Provider Demographics
NPI:1225810757
Name:WHEELS ON DEMAND
Entity Type:Organization
Organization Name:WHEELS ON DEMAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:DODD CERT CPR CERT
Authorized Official - Phone:440-655-5700
Mailing Address - Street 1:29061 FORESTGROVE RD
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4779
Mailing Address - Country:US
Mailing Address - Phone:440-655-5700
Mailing Address - Fax:
Practice Address - Street 1:29061 FORESTGROVE RD
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-4779
Practice Address - Country:US
Practice Address - Phone:440-655-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle