MEDICARE: ON THE GO SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	261Q00000X	Clinic/Center
3	343900000X	Non-emergency Medical Transport (VAN)
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1720855968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON THE GO SERVICES LLC

Provider Business Mailing Address
First Line	:	1917 S TAYLOR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2103
Country	:	US
Telephone Number	:	800-806-1596
Fax Number	:

Provider Business Practice Location Address
First Line	:	1917 S TAYLOR RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2103
Country	:	US
Telephone Number	:	800-806-1596
Fax Number	:	440-534-3324

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TAMIA CASMON
Credential	:
Telephone Number	:	216-210-8107

Provider Enumeration Date	:	12/07/2023
Last Update Date	:	08/16/2024

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Directions to “ON THE GO SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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