MEDICARE: STATE TO STATE TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	RJ806782	OH

General Provider Information

NPI Number	:	1841430584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATE TO STATE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2515 EAST 64TH #5
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104
Country	:	US
Telephone Number	:	216-820-3853
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 E 64TH ST APT 5
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-1738
Country	:	US
Telephone Number	:	216-820-3853
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CLARENCE HORNE
Credential	:
Telephone Number	:	216-820-3853

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	02/20/2009

Similar Medicare Providers

1609906395 — TRI COUNTY MEDICAL CENTER, INC
Practice Location Address:

1738 CLEVELAND AVE
CASTLEBERRY, AL
36432

Practice Phone: 251-966-5440
Practice Fax: 251-966-5396

1245557826 — MRS. SERETTA LASHAWN SCOTT RN
Practice Location Address:

1472 PARKHILL RD
CLEVELAND HTS, OH
44121-1738

Practice Phone: 216-382-0702
Practice Fax:

1518213024 — MRS. TAMIA SHANYNE SMITH RN
Practice Location Address:

1482 PARKHILL RD
CLEVELAND HEIGHTS, OH
44121-1738

Practice Phone: 216-832-2437
Practice Fax:

1548764335 — VICTORIA MEADOWS
Practice Location Address:

3957 STRANDHILL RD
CLEVELAND, OH
44128-1738

Practice Phone: 216-868-1543
Practice Fax:

1881156875 — TONYA R STEGER
Practice Location Address:

1738 ROSEDALE AVE
EAST CLEVELAND, OH
44112-2043

Practice Phone: 216-544-4282
Practice Fax: 216-320-0905

1639762438 — UNDER HIS WINGS AND IN HIS HANDS
Practice Location Address:

1738 ROSEDALE AVE
EAST CLEVELAND, OH
44112-2043

Practice Phone: 216-544-4282
Practice Fax: 216-320-0905

Directions to “STATE TO STATE TRANSPORTATION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.