Healthcare Provider Details

I. General information

NPI: 1134620560
Provider Name (Legal Business Name): MERCY ANGELS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 SHAKER BLVD STE 210D
CLEVELAND OH
44120-2000
US

IV. Provider business mailing address

12800 SHAKER BLVD STE 210D
CLEVELAND OH
44120-2000
US

V. Phone/Fax

Practice location:
  • Phone: 216-751-0159
  • Fax: 216-751-1502
Mailing address:
  • Phone: 216-751-0159
  • Fax: 216-751-1502

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MAGAN ABRAHAM
Title or Position: CEO
Credential:
Phone: 216-376-6969