=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003704693
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAVEN SENT TRANSPORTATIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2025
-----------------------------------------------------
Last Update Date | 06/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5551 OAKWOOD AVE
-----------------------------------------------------
City | MAPLE HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44137-2333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-333-3680
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5551 OAKWOOD AVE
-----------------------------------------------------
City | MAPLE HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44137-2333
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | GREGORY ROBERT MONTGOMERY SR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 216-333-3680
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------