Provider Demographics
NPI:1346454907
Name:ACE TAXI SERVICE, INC.
Entity Type:Organization
Organization Name:ACE TAXI SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVANG
Authorized Official - Middle Name:BHUPENDRA
Authorized Official - Last Name:BAVISHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-361-8700
Mailing Address - Street 1:1798 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3162
Mailing Address - Country:US
Mailing Address - Phone:216-361-8700
Mailing Address - Fax:216-361-4744
Practice Address - Street 1:1798 E 55TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3162
Practice Address - Country:US
Practice Address - Phone:216-361-8700
Practice Address - Fax:216-361-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered341800000XTransportation ServicesMilitary/U.S. Coast Guard Transport
Not Answered343800000XTransportation ServicesSecured Medical Transport (VAN)
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2430006Medicaid