Provider Demographics
NPI:1013484047
Name:RMD FIRST STEP: COMMUNITY SERVICES PLUS
Entity Type:Organization
Organization Name:RMD FIRST STEP: COMMUNITY SERVICES PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATUTORY AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-762-1824
Mailing Address - Street 1:13710 BARTLETT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4714
Mailing Address - Country:US
Mailing Address - Phone:216-762-1824
Mailing Address - Fax:
Practice Address - Street 1:472 BELL STREET
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203
Practice Address - Country:US
Practice Address - Phone:231-738-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle