Provider Demographics
NPI:1902383177
Name:CLASSIQUE TRANSPORT SERVICES
Entity Type:Organization
Organization Name:CLASSIQUE TRANSPORT SERVICES
Other - Org Name:CLASSIQUE MOTORS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVEREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-324-0242
Mailing Address - Street 1:24671 GLENFOREST RD
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2362
Mailing Address - Country:US
Mailing Address - Phone:216-324-0242
Mailing Address - Fax:
Practice Address - Street 1:24671 GLENFOREST RD
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2362
Practice Address - Country:US
Practice Address - Phone:216-324-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)