=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184505943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHAT MOBILITY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2025
-----------------------------------------------------
Last Update Date | 09/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20050 GREEN OAK DR
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44117-2222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-571-3775
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20050 GREEN OAK DR
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44117-2222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-571-3775
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | MRS. PREKEYSE CHATMON-WHITE
-----------------------------------------------------
Credential | BS, MHEA
-----------------------------------------------------
Telephone | 216-571-3775
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------