MEDICARE: HIS FAITH DRIVERS, 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	:	1093631806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIS FAITH DRIVERS, LLC

Provider Business Mailing Address
First Line	:	715 MINER DR APT C3
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-1438
Country	:	US
Telephone Number	:	330-298-5469
Fax Number	:	330-298-5469

Provider Business Practice Location Address
First Line	:	715 MINER DR APT C3
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-1438
Country	:	US
Telephone Number	:	330-298-5469
Fax Number	:	330-298-5469

Authorized Official
Title or Position	:	CEO/MANAGING PARTNER
Name	:	CARLA ANNE MCKISSACK
Credential	:
Telephone Number	:	330-298-5469

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

Similar Medicare Providers

1215863808 — CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION
Practice Location Address:

2508 MEDINA RD
MEDINA, OH
44256-8144

Practice Phone: 216-444-2273
Practice Fax:

1598598864 — JOSEPHINE ELISABETH BASILE LSW
Practice Location Address:

1065 MEDINA RD
MEDINA, OH
44256-5375

Practice Phone: 330-596-1042
Practice Fax:

1578266839 — KRISTEN ELIZABETH MARCUM DO
Practice Location Address:

3780 MEDINA RD STE 310
MEDINA, OH
44256-9312

Practice Phone: 330-725-8441
Practice Fax:

1811813611 — DARIAN TANNER COTA/L
Practice Location Address:

2736 MEDINA RD , #108
MEDINA, OH
44256

Practice Phone: 330-867-2240
Practice Fax:

1679965289 — DR. CARL BARRICK DO
Practice Location Address:

1133 MEDINA RD STE 100
MEDINA, OH
44256-5913

Practice Phone: 330-239-4350
Practice Fax: 330-239-4584

1437084340 — THE CLEVELAND CLINIC FOUNDATION
Practice Location Address:

970 E WASHINGTON ST , STE 3A
MEDINA, OH
44256-2181

Practice Phone: 216-444-2273
Practice Fax:

Directions to “HIS FAITH DRIVERS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.