Healthcare Provider Details

I. General information

NPI: 1023718558
Provider Name (Legal Business Name): ACE TRANSPORTATION SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1798 E 55TH ST
CLEVELAND OH
44103-3162
US

IV. Provider business mailing address

1798 E 55TH ST
CLEVELAND OH
44103-3162
US

V. Phone/Fax

Practice location:
  • Phone: 216-361-8700
  • Fax: 216-361-4744
Mailing address:
  • Phone: 216-361-8700
  • Fax: 216-361-4744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. DEVANG BAVISHI
Title or Position: PRESIDENT
Credential:
Phone: 216-361-8700