Organization Active NPI

Village of Hoffman Estates

  • Land Ambulance
  • Hoffman Estates, IL
National Provider Identifier
1053325324
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
8190 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590002596OtherILRR MEDICARE
360243413001MedicaidIL
1670165OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0686318Village of Hoffman Estates1900 Hassell Road, Hoffman Estates, IL 60195Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Village of Hoffman Estates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.