Provider Demographics
NPI:1609574045
Name:SIMS INNOVATIONS LLC
Entity Type:Organization
Organization Name:SIMS INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:216-609-2059
Mailing Address - Street 1:450 N BRICE RD UNIT 140
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-1507
Mailing Address - Country:US
Mailing Address - Phone:216-609-2059
Mailing Address - Fax:
Practice Address - Street 1:314 SHELTER COVE DR
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7895
Practice Address - Country:US
Practice Address - Phone:216-609-2059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)