Silver Wings Senior Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SILVER WINGS SENIOR TRANSPORT LLC

Practice address

4147 W Sandwich Rd
Sandwich, IL 60548-4118

Phone

(331) 998-1343

NPI assigned

Mar 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ethan Christopher Castilla

Title

Ceo

Phone

(331) 998-1343

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn Kim Reynolds, RN

  • Non-emergency Medical Transport (VAN)
  • Sandwich, IL
  • NPI 1598306714
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1013666726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WASHINGTON AVE APT 209",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031866",
            "telephone_number": "331-998-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 W SANDWICH RD",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605484118",
            "telephone_number": "331-998-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER WINGS SENIOR TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CASTILLA",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-998-1343"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecastilla@silverwingseniortransport.com",
            "affiliation": "N",
            "endpointDescription": "CEO - Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "4147 W Sandwich Rd",
            "city": "Sandwich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605484118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandwich Medical Clinic SC
• Sandwich Rehabilitation & Health Care Center
• John R. Schmidt, D.M.D.
• Stephanie Schuster, APRN, CNP
• Seja Limited
• Miricle Simonson
• Skan LLC
• William R Skutta, O.D.
• Jennifer Lynne Smith, PTA, ATC, NCMT
• Lindsey Nicole Fae Smith, LCSW

• Non-emergency Medical Transport (VAN) in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.