Active NPI
Village of Hoffman Estates
- Land Ambulance
- Hoffman Estates, IL
National Provider Identifier
1053325324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 8190
- Legal business name
- VILLAGE OF HOFFMAN ESTATES
- Practice address
- 1900 Hassell Rd
Hoffman Estates, IL 60195-2308 - Phone
- (847) 882-2138
- Fax
- (847) 882-2139
- NPI assigned
- Jul 29, 2006
- Last updated
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Rynders
- Title
- Fire Chief
- Phone
- (847) 882-2138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 8190 | IL | Primary |
Addresses
Primary practice location
1900 Hassell Rd
Hoffman Estates, IL 60195-2308
Mailing address
PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590002596 | Other | IL | RR MEDICARE |
| 360243413001 | Medicaid | IL | |
| 1670165 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120309000335 | IL | Part B Supplier - Ambulance Service Supplier | 2961661004 | Practice locations: Hoffman Estates, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Village of Hoffman Estates Health and Human Services
- Public Health or Welfare Agency
- Hoffman Estates, IL
- NPI 1730216458
2961661004
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0686318 | Village of Hoffman Estates | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Village of Hoffman Estates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hoffman Estates, IL
- NPI 1548873888
-
dba Village of Hoffman Estates Health and Human Services
- Public Health or Welfare Agency
- Hoffman Estates, IL
- NPI 1730216458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1053325324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900457",
"telephone_number": "847-577-8811",
"fax_number": "847-577-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 HASSELL RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601952308",
"telephone_number": "847-882-2138",
"fax_number": "847-882-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF HOFFMAN ESTATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "RYNDERS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "847-882-2138"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "8190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590002596",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360243413001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1670165",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
- Veripath
- Veripath LLP
- Rachana Vettickal, LCSW
- Molly Victorine, DPT
- Tomas Villaflor, M.D.
- Village of Hoffman Estates
- Village of Hoffman Estates (Village of Hoffman Estates Health and Human Services)
- Silvia Villagomez
- Karla Dayana Villegas
- Virgos Home Health Care, Inc. (North Western Home Health Care, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.