Provider Demographics
NPI:1801318902
Name:PURPLE CAB CO, LLC
Entity type:Organization
Organization Name:PURPLE CAB CO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:CORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-377-9620
Mailing Address - Street 1:8518 AQUADUCT PARK
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-8028
Mailing Address - Country:US
Mailing Address - Phone:419-350-5554
Mailing Address - Fax:419-386-1937
Practice Address - Street 1:8518 AQUADUCT PARK
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-8028
Practice Address - Country:US
Practice Address - Phone:419-350-5554
Practice Address - Fax:419-386-1937
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PURPLE CAB CO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH94260000000OtherACCESS2CARE