Individual provider Active NPI

Timia Shunice Hines

  • Non-emergency Medical Transport (VAN)
  • Harvey, IL
National Provider Identifier
1063072452
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
15534 Turlington Ave Apt 2N
Harvey, IL 60426-4374
Phone
(708) 663-1269
Fax
(708) 663-1269
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

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

Addresses

Primary practice location

15534 Turlington Ave Apt 2N
Harvey, IL 60426-4374

Mailing address

15534 Turlington Ave Apt 2N
Harvey, IL 60426-4374
Phone (708) 663-1269

Other names 1

  • Timia S. Hines Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HARVEY Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1063072452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15534 TURLINGTON AVE APT 2N",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264374",
            "telephone_number": "708-663-1269",
            "fax_number": "708-663-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15534 TURLINGTON AVE APT 2N",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264374",
            "telephone_number": "708-663-1269",
            "fax_number": "708-663-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "TIMIA",
        "middle_name": "SHUNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HARVEY",
            "affiliation": "N",
            "endpointDescription": "http.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "HARVEY",
            "address_1": "15534 Turlington Ave Apt 2N",
            "city": "Harvey",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604264374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIMIA",
            "last_name": "HINES",
            "middle_name": "S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.