Provider Demographics
NPI:1508663568
Name:DIVINE CARE TRANSPORT
Entity type:Organization
Organization Name:DIVINE CARE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GIFT
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUJIOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-399-8730
Mailing Address - Street 1:19412 GARDENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2342
Mailing Address - Country:US
Mailing Address - Phone:216-399-8730
Mailing Address - Fax:
Practice Address - Street 1:19412 GARDENVIEW DR
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2342
Practice Address - Country:US
Practice Address - Phone:216-505-3187
Practice Address - Fax:216-453-8991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company