Healthcare Provider Details

I. General information

NPI: 1851288740
Provider Name (Legal Business Name): UPHILL TRAINING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 HOLTZMAN AVE
COLUMBUS OH
43205-1633
US

IV. Provider business mailing address

1049 WILSON AVE
COLUMBUS OH
43206-1655
US

V. Phone/Fax

Practice location:
  • Phone: 614-670-4126
  • Fax:
Mailing address:
  • Phone: 614-961-8109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALVERNELL GREENE
Title or Position: OWNER
Credential:
Phone: 614-961-8109