Healthcare Provider Details

I. General information

NPI: 1831971845
Provider Name (Legal Business Name): PLATINUM SHUTTLE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 BROOKCREST DR STE 354
CINCINNATI OH
45237-3448
US

IV. Provider business mailing address

2857 BENTBROOK DR
CINCINNATI OH
45251-1107
US

V. Phone/Fax

Practice location:
  • Phone: 513-802-5642
  • Fax:
Mailing address:
  • Phone: 513-873-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN SHERMAN
Title or Position: OWNER
Credential:
Phone: 513-435-1621