MEDICARE: CARING WHEELS TRANSPORTATION SERVICES 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	:	1679053102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING WHEELS TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	3154 AUDUBON BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-5328
Country	:	US
Telephone Number	:	216-554-6281
Fax Number	:

Provider Business Practice Location Address
First Line	:	3154 AUDUBON BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44104-5328
Country	:	US
Telephone Number	:	216-554-6281
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER O ADIGWE
Credential	:
Telephone Number	:	216-554-6281

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	08/15/2018

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