PETRA MEDICARE TRANSPORTATION LLC (NPI# 1962042192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962042192 |
| Entity Type | Organization |
| Organization Name | PETRA MEDICARE TRANSPORTATION LLC |
| Practice Address |
1425 W Kemper Rd Cincinnati OH 45240-1630 |
| Practice Telephone | 5134056765 |
| Mailing Telephone | 5134056765 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | IBRAHIM KAKISH (OWNER) |
| Authorized Official Telephone | 5134056765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Other Name | Type Code |
|---|---|
| petra medicare transportation llc | Doing Business As Name - Organization |
| Street Address |
1425 W KEMPER RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45240-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151841 | Ibrahim Kakish | Counselor | 1425 W Kemper Rd, Cincinnati, OH 45240-1630 | 2019-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
| 1316559263 | Big H Home Health Care | Home Health | Northland Blvd, Cincinnati, OH 45240 | 2020-08-21 |
| 1437667912 | May Austin | Respite Care | 11444 Farmington Rd, Cincinnati, OH 45240 | 2018-01-18 |
| 1952815490 | Joyce Kerobo | Licensed Practical Nurse | 1014 Holderness Ln, Cincinnati, OH 45240 | 2017-11-20 |
| 1912429416 | Guselyn Beatrice Bobb | In Home Supportive Care | 12052 Deerhorn Drive, Cincinnati, OH 45240 | 2017-07-17 |
| 1164962239 | Amber Haynes | Counselor | 1570 Jonquilmeadow Dr, Cincinnati, OH 45240 | 2017-03-08 |
| 1215477039 | Ayele Ahouefa Lawson | Licensed Practical Nurse | 962 Glasgow Drive, Cincinnati, OH 45240 | 2017-02-27 |
| 1710365937 | Affordable Dentures - Forest Park, Mark A. Meclosky, Dds, Inc. | Dentist | 1173 Smiley Avenue, Cincinnati, OH 45240 | 2015-05-07 |
| 1720476658 | Medical Staffing Network | Nursing Care | 1388 Waycross Rd Apt B, Cincinnati, OH 45240 | 2014-12-30 |
| 1316351877 | Mirabel Owie Obi | Licensed Practical Nurse | 591 Ashburn Rd # A, Cincinnati, OH 45240 | 2014-06-12 |
| Find all providers in zip 45240 | ||||
| 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 |
|---|---|---|---|---|
| 1053918649 | Cincy Medic Transportation LLC | Non-emergency Medical Transport (VAN) | 6230 Ridgeacres Dr Unit A, Cincinnati, OH 45237-4981 | 2020-10-06 |
| 1710584453 | Trucare Transport LLC | Non-emergency Medical Transport (VAN) | 4030 Mount Carmel Tobasco Rd Ste 217, Cincinnati, OH 45255-3431 | 2020-10-06 |
| 1073127742 | Nys Transportation LLC | Non-emergency Medical Transport (VAN) | 1616 Race St Unit 8, Cincinnati, OH 45202-7729 | 2020-09-01 |
| 1831709047 | Camps Transport | Non-emergency Medical Transport (VAN) | 2251 Woodacre Dr, Cincinnati, OH 45231-2881 | 2020-08-03 |
| 1336765346 | Charlotte Martin-jones | Non-emergency Medical Transport (VAN) | 10294 Pippin Rd, Cincinnati, OH 45231-1860 | 2020-06-25 |
| 1356973341 | Motivation In Motion | Non-emergency Medical Transport (VAN) | 26 Shirley Dr, Cincinnati, OH 45217-2116 | 2020-02-07 |
| 1780215327 | Mallie Edwards | Non-emergency Medical Transport (VAN) | 4711 Clevesdale Dr, Cincinnati, OH 45238-4002 | 2020-02-02 |
| 1093359507 | Knr Concierge Transport Services LLC | Non-emergency Medical Transport (VAN) | 1754 Monterey Ct, Cincinnati, OH 45223-1529 | 2019-10-29 |
| 1952873366 | Managed Transportation Services | Non-emergency Medical Transport (VAN) | 7849 Palace Dr, Cincinnati, OH 45249-1635 | 2018-12-23 |
| 1447738505 | Tinnie Jimmia Young | Non-emergency Medical Transport (VAN) | 10317 September Dr, Cincinnati, OH 45251-1122 | 2018-08-01 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45240 |
Please comment or provide details below to improve the information on PETRA MEDICARE TRANSPORTATION LLC.
| 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.