Healthcare Provider Details

I. General information

NPI: 1639930456
Provider Name (Legal Business Name): SHAVAY SADLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 CARNEGIE AVE APT C11
AKRON OH
44314-1180
US

IV. Provider business mailing address

747 CARNEGIE AVE APT C11
AKRON OH
44314-1180
US

V. Phone/Fax

Practice location:
  • Phone: 330-734-5961
  • Fax:
Mailing address:
  • Phone: 330-734-5961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MISS SHA'VAY LANIECE SADLER
Title or Position: OWNER/EMPLOYEE
Credential:
Phone: 330-734-5961