MEDICARE: MIDWEST LIVERY 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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194358622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST LIVERY LLC

Provider Business Mailing Address
First Line	:	929 NORMANDY TRACE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5921
Country	:	US
Telephone Number	:	613-397-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-2426
Country	:	US
Telephone Number	:	614-530-4561
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ADNAN MOUEIMNE
Credential	:
Telephone Number	:	613-397-1800

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	02/12/2020

Similar Medicare Providers

1336779859 — ADNAN MOUNEIMNE
Practice Location Address:

2025 S HIGH ST
COLUMBUS, OH
43207-2426

Practice Phone: 614-397-1800
Practice Fax:

1356939805 — TANISHA TATE
Practice Location Address:

2025 S HIGH ST
COLUMBUS, OH
43207-2426

Practice Phone: 614-795-4081
Practice Fax:

1164414025 — CLINTON TOWNSHIP
Practice Location Address:

3820 CLEVELAND AVE
COLUMBUS, OH
43224-2426

Practice Phone: 614-471-6854
Practice Fax: 614-475-0023

1174984975 — MAMADOU T BAH MBA
Practice Location Address:

1510 S HAMILTON RD STE L
COLUMBUS, OH
43227-2426

Practice Phone: 614-556-0342
Practice Fax:

1659070720 — ZIN MIN JR.
Practice Location Address:

2426 SHERWOOD VILLA
COLUMBUS, OH
43221-2647

Practice Phone: 614-736-5025
Practice Fax:

1750066452 — ABILITY CARE SERVICES LLC
Practice Location Address:

1510 S HAMILTON RD STE L
COLUMBUS, OH
43227-2426

Practice Phone: 614-556-0342
Practice Fax:

Directions to “MIDWEST LIVERY 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 © 2007-2025 (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.