BOLIVAR COUNTY COUNCIL ON AGING, INC. (NPI# 1235628983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235628983 |
| Entity Type | Organization |
| Organization Name | BOLIVAR COUNTY COUNCIL ON AGING, INC. |
| Practice Address |
800 S Davis Ave Cleveland MS 38732-3943 |
| Mailing Address |
Po Box 593 Cleveland MS 38732-0593 |
| Practice Telephone | 6628466161 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MARY ANN GRIFFIN (PROJECT OFFICER) |
| Authorized Official Telephone | 6019815447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2458 Livingston Rd Ste 360, Jackson, MS 392136920 | 6019815447 |
| Street Address |
800 S DAVIS AVE |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279012 | Qualified Medical Tranportation | Non-emergency Medical Transport (VAN) | 3225 E 56th Pl, Cleveland, OH 44127-1301 | 2020-09-11 |
| 1427668607 | James Cooper | Non-emergency Medical Transport (VAN) | 1184 E 81st St, Cleveland, OH 44103-2206 | 2020-08-03 |
| 1841818002 | Thomas Edward Starkey Sr. | Non-emergency Medical Transport (VAN) | 135 Chestnut Ln Apt J315, Cleveland, OH 44143-1021 | 2020-07-13 |
| 1962021071 | Genex Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 1312 W 58th St, Cleveland, OH 44102-2120 | 2020-04-09 |
| 1639702855 | Ohio Wellness Transit | Non-emergency Medical Transport (VAN) | 3295 W. 97th St, Cleveland, OH 44102 | 2020-02-17 |
| 1598308298 | Premier Ohio Transportation In | Non-emergency Medical Transport (VAN) | 17325 Euclid Ave Ste 3029, Cleveland, OH 44112-1255 | 2019-10-25 |
| 1639654494 | Gulf Transport LLC | Non-emergency Medical Transport (VAN) | 18512 Homeway Rd, Cleveland, OH 44135-4022 | 2018-09-27 |
| 1679053102 | Caring Wheels Transportation Services LLC | Non-emergency Medical Transport (VAN) | 3154 Audubon Blvd, Cleveland, OH 44104-5328 | 2018-08-15 |
| 1790282085 | Chimerea De'shay Porter | Non-emergency Medical Transport (VAN) | 16212 Kollin Ave, Cleveland, OH 44128-3808 | 2018-04-12 |
| 1164925566 | Westchester House Adult Family Home LLC | Non-emergency Medical Transport (VAN) | 10305 Westchester Ave, Cleveland, OH 44108-3461 | 2018-03-12 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.