Provider Demographics
NPI:1396949715
Name:ABLE TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:ABLE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-714-4277
Mailing Address - Street 1:107 CRESTON WAY
Mailing Address - Street 2:
Mailing Address - City:KATHLEEN
Mailing Address - State:GA
Mailing Address - Zip Code:31047-2286
Mailing Address - Country:US
Mailing Address - Phone:478-714-4277
Mailing Address - Fax:478-988-0383
Practice Address - Street 1:10528 EVERTON AVE FL 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-2723
Practice Address - Country:US
Practice Address - Phone:216-268-2222
Practice Address - Fax:216-268-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2710730Medicaid