Healthcare Provider Details

I. General information

NPI: 1376326132
Provider Name (Legal Business Name): RBG TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11153 DANDRIDGE DR
WARRENSVILLE HEIGHTS OH
44128-4170
US

IV. Provider business mailing address

PO BOX 25203
GARFIELD HEIGHTS OH
44125-0203
US

V. Phone/Fax

Practice location:
  • Phone: 216-323-8258
  • Fax:
Mailing address:
  • Phone: 216-323-8258
  • 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: MR. RICHARD BRYANT
Title or Position: OWNER
Credential:
Phone: 216-323-8258