Healthcare Provider Details

I. General information

NPI: 1790669471
Provider Name (Legal Business Name): BERRIES TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/17/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 GREENSBURG RD
NORTH CANTON OH
44720-1415
US

IV. Provider business mailing address

2335 GREENSBURG RD
NORTH CANTON OH
44720-1415
US

V. Phone/Fax

Practice location:
  • Phone: 941-226-3713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: OLGA GOLUMBIEVSKA
Title or Position: PRESIDENT
Credential:
Phone: 941-226-3713