MEDICARE: RIVERCITY MEDFLEET, 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	3416L0300X	Land Ambulance
2	341600000X	Ambulance

General Provider Information

NPI Number	:	1972459691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERCITY MEDFLEET, LLC

Provider Business Mailing Address
First Line	:	1302 STATE ROUTE 28 STE A
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-8783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 STATE ROUTE 28 STE A
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-8783
Country	:	US
Telephone Number	:	513-465-6482
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF ADMINISTRATION
Name	:	ZAK CASERTA
Credential	:
Telephone Number	:	513-465-6482

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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