MEDICARE: ORACIO WEST COMMUNITY ADVANCEMENT AND SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063368678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORACIO WEST COMMUNITY ADVANCEMENT AND SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4496 MAHONING AVE STE 521
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44515-1601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W EVERGREEN AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44507-1330
Country	:	US
Telephone Number	:	330-719-2581
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICHOLAS ELIJAH ORACIO
Credential	:
Telephone Number	:	330-719-2581

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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