Provider Demographics
NPI:1720637952
Name:PPGN SERVICES, LLC
Entity Type:Organization
Organization Name:PPGN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:KEHINDE
Authorized Official - Last Name:OMOKARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-362-5137
Mailing Address - Street 1:6539 HARRISON AVE # 1135
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7822
Mailing Address - Country:US
Mailing Address - Phone:585-362-5137
Mailing Address - Fax:
Practice Address - Street 1:6539 HARRISON AVE # 1135
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7822
Practice Address - Country:US
Practice Address - Phone:585-362-5137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health