Healthcare Provider Details

I. General information

NPI: 1174470561
Provider Name (Legal Business Name): NWT TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 VIENNA WOODS DR
CINCINNATI OH
45211-6028
US

IV. Provider business mailing address

2805 VIENNA WOODS DR
CINCINNATI OH
45211-6028
US

V. Phone/Fax

Practice location:
  • Phone: 571-458-8807
  • Fax:
Mailing address:
  • Phone: 571-458-8807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: NATHNAEL GHEMBERA
Title or Position: OWNER
Credential:
Phone: 571-458-8807