Healthcare Provider Details

I. General information

NPI: 1124941745
Provider Name (Legal Business Name): KAVALAME TRANSPORTATION SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 WOODLYN DR S
CINCINNATI OH
45230-4434
US

IV. Provider business mailing address

876 WOODLYN DR S
CINCINNATI OH
45230-4434
US

V. Phone/Fax

Practice location:
  • Phone: 513-748-7052
  • Fax:
Mailing address:
  • Phone: 513-748-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SANDRA ROSS SHELLENBARGER
Title or Position: MANAGING AGENT
Credential:
Phone: 513-748-7052