Organization
BOULEVARD VAN CITY LLC
Active
Parent organization
BOULEVARD VAN CITY LLC
Other names
Boulevard Van City & Home Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULEVARD VAN CITY LLC
Authorized official
MR. FRANK J SOUTHERLAND (OWNER)
(716) 731-4335
Entity
Organization
Contact information
Practice address
2708 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-4517
(716) 731-4335
(716) 731-4331
Mailing address
2708 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-4517
(716) 731-4335
(716) 731-4331
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04082239
—
NY
Enumeration date
02/03/2017
Last updated
01/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us