Provider Demographics
NPI:1184808180
Name:RELIABLE TRANSPORTATION
Entity type:Organization
Organization Name:RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHURIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-332-0201
Mailing Address - Street 1:1463 WARRENSVILLE CENTER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2676
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1463 WARRENSVILLE CENTER RD STE 201
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2676
Practice Address - Country:US
Practice Address - Phone:216-332-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1342677343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2431005Medicaid