Healthcare Provider Details

I. General information

NPI: 1720855968
Provider Name (Legal Business Name): ON THE GO SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 S TAYLOR RD
CLEVELAND HEIGHTS OH
44118-2103
US

IV. Provider business mailing address

1917 S TAYLOR RD
CLEVELAND HEIGHTS OH
44118-2103
US

V. Phone/Fax

Practice location:
  • Phone: 800-806-1596
  • Fax: 440-534-3324
Mailing address:
  • Phone: 800-806-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TAMIA CASMON
Title or Position: OWNER/CEO
Credential:
Phone: 216-210-8107