Provider Demographics
NPI:1952664831
Name:HOPE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:HOPE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAMSIDEEN
Authorized Official - Middle Name:OLUMIDE
Authorized Official - Last Name:KAZEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-825-3498
Mailing Address - Street 1:4862 KAREN ISLE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1411
Mailing Address - Country:US
Mailing Address - Phone:216-825-3498
Mailing Address - Fax:216-731-0986
Practice Address - Street 1:4862 KAREN ISLE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1411
Practice Address - Country:US
Practice Address - Phone:216-825-3498
Practice Address - Fax:216-731-0986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH188195343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)