Kayclarken & Shelby LLC

Primary specialty

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

Legal business name

KAYCLARKEN & SHELBY LLC

Doing business as

SafeCare Madison Transport

Practice address

1133 E Airline Dr
East Alton, IL 62024-2283

Phone

(618) 801-1633

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Boster

Title

Chief Executive Officer

Phone

(314) 413-3435

Specialties & licenses 2

Addresses

Other names 1

• SafeCare Madison Transport Doing business as

Locations

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1023825163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 RIDGE RD",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983164",
            "telephone_number": "314-413-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E AIRLINE DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242283",
            "telephone_number": "618-801-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYCLARKEN & SHELBY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "BOSTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-413-3435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SafeCare Madison Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Uraiwan Tana Hompluem, MD
• Euodias M Hunter, DMD
• Nakeia Jackosn
• Gretchen D Jackson, LCPC
• Nicholas Craig Johnson, DDS
• Kay Lynn Koller, CCC-SLP, M.S.
• Eric M Langenwalter, D.M.D., M.S.
• Emily Lautz
• Jeffrey M Lautz, DMD
• Fei-Tung Leu, MD

• Non-emergency Medical Transport (VAN) in East Alton, IL
• Providers in East Alton, 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 Dec 12, 2024; 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.