Healthcare Provider Details

I. General information

NPI: 1003704693
Provider Name (Legal Business Name): HEAVEN SENT TRANSPORTATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5551 OAKWOOD AVE
MAPLE HEIGHTS OH
44137-2333
US

IV. Provider business mailing address

5551 OAKWOOD AVE
MAPLE HEIGHTS OH
44137-2333
US

V. Phone/Fax

Practice location:
  • Phone: 216-333-3680
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GREGORY ROBERT MONTGOMERY SR
Title or Position: PROVIDER
Credential:
Phone: 216-333-3680