Provider Demographics
NPI:1710780317
Name:SHERICE NICOLE TRANSPORTATION
Entity type:Organization
Organization Name:SHERICE NICOLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUTLEDGE
Authorized Official - Suffix:SR
Authorized Official - Credentials:CEO
Authorized Official - Phone:216-372-1746
Mailing Address - Street 1:19955 ROCKSIDE RD APT 701
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2048
Mailing Address - Country:US
Mailing Address - Phone:216-372-1746
Mailing Address - Fax:
Practice Address - Street 1:19955 ROCKSIDE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44146-2073
Practice Address - Country:US
Practice Address - Phone:216-372-1746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)