Provider Demographics
NPI:1396309860
Name:CHIONE SCHUTTLE LLC
Entity type:Organization
Organization Name:CHIONE SCHUTTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FORCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-704-0994
Mailing Address - Street 1:315 NORTHRIDGE ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4049
Mailing Address - Country:US
Mailing Address - Phone:330-704-0994
Mailing Address - Fax:330-244-0692
Practice Address - Street 1:315 NORTHRIDGE ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-4049
Practice Address - Country:US
Practice Address - Phone:330-704-0994
Practice Address - Fax:330-244-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0106562Medicaid