Organization Active NPI

M a C Care Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1043131816
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
M A C CARE TRANSPORTATION LLC
Practice address
347 S Cicero Ave # 2S
Chicago, IL 60644-4905
Phone
(773) 746-1399
NPI assigned
Jul 24, 2026
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Mr. Derrick Damon McCollum Sr.
Title
Owner
Phone
(773) 746-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

347 S Cicero Ave # 2S
Chicago, IL 60644-4905

Mailing address

3913 Haas Ave Apt 4
Lyons, IL 60534-1225
Phone (773) 746-1399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1043131816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 HAAS AVE APT 4",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341225",
            "telephone_number": "773-746-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S CICERO AVE # 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444905",
            "telephone_number": "773-746-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A C CARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-746-1399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.