Provider Demographics
NPI:1528564549
Name:EMAMAYTE LIMITED
Entity Type:Organization
Organization Name:EMAMAYTE LIMITED
Other - Org Name:EMANAYTE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORISADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-346-2995
Mailing Address - Street 1:8744 SUMMER WIND LN
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1586
Mailing Address - Country:US
Mailing Address - Phone:440-346-2995
Mailing Address - Fax:
Practice Address - Street 1:8744 SUMMER WIND LN
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-1586
Practice Address - Country:US
Practice Address - Phone:440-346-2995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0116220Medicaid