Provider Demographics
NPI:1679020713
Name:TRANSPORT ASSISTANCE INC.
Entity Type:Organization
Organization Name:TRANSPORT ASSISTANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:216-536-7940
Mailing Address - Street 1:5481 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1249
Mailing Address - Country:US
Mailing Address - Phone:216-801-4700
Mailing Address - Fax:216-666-2121
Practice Address - Street 1:5481 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1249
Practice Address - Country:US
Practice Address - Phone:216-801-4700
Practice Address - Fax:216-666-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0120339Medicaid