GORDRELL ENTERPRISES LLC (NPI# 1578179982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578179982 |
| Entity Type | Organization |
| Organization Name | GORDRELL ENTERPRISES LLC |
| Practice Address |
2244 S Hamilton Rd Ste 101c Columbus OH 43232-4390 |
| Practice Telephone | 8555192787 |
| Practice Fax Number | 6148681688 |
| Mailing Telephone | 8555192787 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | TOMIKA GORDON (MANAGING MEMBER) |
| Authorized Official Telephone | 6149465504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347B00000X | Bus | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Other Name | Type Code |
|---|---|
| ASUR Transportation & Fleet Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521178 | Gordrell Enterprises LLC | Private Vehicle | 2244 S Hamilton Rd Ste 101c, Columbus, OH 43232-4390 | 2020-09-04 |
| 1982223699 | Gordrell Enterprises LLC | Counselor | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-13 |
| 1992324867 | Gordrell Enterprises LLC | Community/Behavioral Health | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-04-10 |
| 1447888912 | Gordrell Enterprises LLC | Substance Abuse Rehabilitation Facility | 2246 S Hamilton Rd Ste 100, Columbus, OH 43232-4317 | 2020-03-31 |
| Street Address |
2244 S HAMILTON RD STE 101C |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521178 | Gordrell Enterprises LLC | Private Vehicle | 2244 S Hamilton Rd Ste 101c, Columbus, OH 43232-4390 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726573 | Community Living Experiences, Inc. | Private Vehicle | 2939 Donnylane Blvd, Columbus, OH 43235-3228 | 2020-10-08 |
| 1013521178 | Gordrell Enterprises LLC | Private Vehicle | 2244 S Hamilton Rd Ste 101c, Columbus, OH 43232-4390 | 2020-09-04 |
| 1821634767 | Elx, LLC | Private Vehicle | 5255 Heroncreek Blvd, Columbus, OH 43213-7626 | 2019-11-26 |
| 1508414780 | Rhonda Jeannine Lyles- Lee | Private Vehicle | 1228 E 22nd Ave, Columbus, OH 43211-2520 | 2019-08-30 |
| 1083120174 | Ae Priority Service Medical Transportation LLC | Private Vehicle | 1177 Waterford Pointe Cir, Columbus, OH 43228-9105 | 2017-12-27 |
| 1629509344 | Exclusive Concierge Services | Private Vehicle | 6 Southside Ct Apt B, Columbus, GA 31903-4428 | 2017-03-24 |
| 1710425962 | Edwin Brooks | Private Vehicle | 2155 Laurelwood Dr, Columbus, OH 43229-2812 | 2017-02-08 |
| 1124572425 | Golden Moon Transportation | Private Vehicle | 5404 Ravine Bluff Ct, Columbus, OH 43231-3157 | 2016-08-04 |
| 1982075552 | 4g LLC | Private Vehicle | 3248 Cleveland Ave, 2nd Floor Suite 17, Columbus, OH 43224-3615 | 2015-10-08 |
| 1841534278 | I To I Supports, LLC | Private Vehicle | 1835 Agler Rd, Columbus, OH 43224-4401 | 2012-11-26 |
| Find all providers in COLUMBUS | ||||
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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.