MEDICARE: N ALLIANCE TRANSIT 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	:	1851972533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N ALLIANCE TRANSIT LLC

Provider Business Mailing Address
First Line	:	9814 NICHOLAS AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3627
Country	:	US
Telephone Number	:	216-952-7572
Fax Number	:

Provider Business Practice Location Address
First Line	:	9814 NICHOLAS AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-3627
Country	:	US
Telephone Number	:	216-952-7572
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAZEL L NIEVES
Credential	:
Telephone Number	:	216-952-7572

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	04/15/2021

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