Healthcare Provider Details

I. General information

NPI: 1831727098
Provider Name (Legal Business Name): BUCKEYE ASPIRES OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 N MARGINAL RD APT 304
CLEVELAND OH
44114-3942
US

IV. Provider business mailing address

5455 N MARGINAL RD APT 304
CLEVELAND OH
44114-3942
US

V. Phone/Fax

Practice location:
  • Phone: 216-420-3940
  • Fax:
Mailing address:
  • Phone: 216-565-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANTE LYDELL WILLIAMS
Title or Position: OWNER
Credential:
Phone: 216-565-9338