Provider Demographics
NPI:1548487200
Name:CARE BEAR TRANSPORTATION
Entity type:Organization
Organization Name:CARE BEAR TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-361-9221
Mailing Address - Street 1:3615 SUPERIOR AVE
Mailing Address - Street 2:SUITE 3104-E
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4138
Mailing Address - Country:US
Mailing Address - Phone:216-361-9221
Mailing Address - Fax:216-361-9229
Practice Address - Street 1:3615 SUPERIOR AVE E
Practice Address - Street 2:SUITE 3104-E
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4138
Practice Address - Country:US
Practice Address - Phone:216-361-9221
Practice Address - Fax:216-361-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH185175343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2347419Medicaid