Provider Demographics
NPI:1811767973
Name:EXECUTIVETRANSPORT SOLUTIONS
Entity type:Organization
Organization Name:EXECUTIVETRANSPORT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-241-5669
Mailing Address - Street 1:23860 HARMS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1603
Mailing Address - Country:US
Mailing Address - Phone:440-241-5669
Mailing Address - Fax:
Practice Address - Street 1:23860 HARMS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1603
Practice Address - Country:US
Practice Address - Phone:440-241-5669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle