BLUE TRANSPORTATION (NPI# 1639699002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639699002 |
Entity Type | Organization |
Organization Name | BLUE TRANSPORTATION |
Practice Address |
520 Barrington Ct University Park IL 60484-3211 |
Practice Telephone | (708) 885-5200 |
Practice Fax Number | 7088855200 |
Mailing Telephone | 7088855200 |
Mailing Fax Number | 7088855200 |
Enumeration Date | 2017-06-26 |
Last Update Date | 2018-06-16 |
Authorized Official Name | MRS. DEBRA ANN CRUMB-WILLIAMS (OWNER) |
Authorized Official Telephone | 6302514666 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343800000X | Secured Medical Transport (VAN) | Transportation Services | ||
Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | BLUE TRANSPORTATION MANAGEMENT LLC | 275 N. Middletown Road, Suite 2d, Pearl River, New York 10965 |
Street Address |
520 BARRINGTON CT |
City | UNIVERSITY PARK |
State | IL |
Zip Code | 60484-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447898721 | Sophia Bracey | Registered Nurse | 443 Fairway Ct, University Park, IL 60484 | 2019-12-17 |
1225671019 | Colin D Kirchner | Counselor | 540 Circle Dr, University Park, IL 60484 | 2019-10-23 |
1437560505 | This Little Light | Durable Medical Equipment & Medical Supplies | 439 Doral Ter, University Park, IL 60484-2712 | 2014-05-12 |
1396232633 | Heather Williams | Chore Provider | 1 Thornwood Mall, University Park, IL 60484-2725 | 2018-04-20 |
1003205279 | Theresia Fonge | Non-emergency Medical Transport (VAN) | 4790 Hickory Creek Dr, Apt 8, University Park, IL 60484-2740 | 2015-01-12 |
1427366764 | Rupel Emmanuel Marshall Jr. | Pharmacist | 437 Brassie Ln, University Park, IL 60484-2775 | 2010-09-21 |
1972949261 | Lida Stewart | Developmental Therapist | 430 Brassie Ct, University Park, IL 60484-2777 | 2013-05-14 |
1053897736 | Grand Prairie Services | Clinic/Center | 759 Burr Oak Ln, University Park, IL 60484-2865 | 2018-07-16 |
1881086999 | Kay-kaymonique Pena | Social Worker | 706 Circle Dr, University Park, IL 60484-2907 | 2015-02-26 |
1174862213 | Norman Mays | Private Vehicle | 733 Union Dr, University Park, IL 60484-2918 | 2013-02-09 |
Find all providers in zip 60484 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003205279 | Theresia Fonge | Non-emergency Medical Transport (VAN) | 4790 Hickory Creek Dr, Apt 8, University Park, IL 60484-2740 | 2015-01-12 |
1942619051 | Compassion Transportation LLC | Non-emergency Medical Transport (VAN) | 612 Old Forge Ct, University Park, IL 60484-3310 | 2014-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619426 | Smart Port Care LLC | Non-emergency Medical Transport (VAN) | 152 S 5000w Rd, Kankakee, IL 60901-7902 | 2020-11-03 |
1386244721 | Philip Anipah | Non-emergency Medical Transport (VAN) | 7440 Tennessee Dr Apt 211, Willowbrook, IL 60527-2390 | 2020-10-26 |
1720687080 | Leron Hargrove-head | Non-emergency Medical Transport (VAN) | 16819 Glen Oaks Dr, Country Club Hills, IL 60478-2147 | 2020-10-19 |
1861090045 | Kind Care Illinois | Non-emergency Medical Transport (VAN) | 1617 Westminster Dr Apt 203, Naperville, IL 60563-9226 | 2020-10-11 |
1194332213 | Community Medical Transport Ltd | Non-emergency Medical Transport (VAN) | 534 16th St Ste C, Rock Island, IL 61201-8635 | 2020-09-24 |
1366058042 | Mary Oluwakemi Adedeji | Non-emergency Medical Transport (VAN) | 409 Carey Ct, Chicago Heights, IL 60411-1646 | 2020-09-18 |
1417568577 | Henry Oa Darko | Non-emergency Medical Transport (VAN) | 1830 Carl Dr, Round Lake Beach, IL 60073-1394 | 2020-08-12 |
1649881962 | Neneme LLC | Non-emergency Medical Transport (VAN) | 6201 Smokey Ridge Dr, Plainfield, IL 60586-5563 | 2020-08-11 |
1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
Find all providers with the same taxonomy |
City | UNIVERSITY PARK |
Zip Code | 60484 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.