NPIMap

Organization Active NPI

Legacy Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1063857530
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
APPLY FOR Issued in IL
Legal business name
LEGACY TRANSPORTATION LLC
Practice address
7128 S Oglesby Ave
Chicago, IL 60649-2516
Phone
(773) 712-7928
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Mr. John O Lewis III
Title
Ceo
Phone
(773) 712-7928

Specialties & licenses 1

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

Addresses

Primary practice location

7128 S Oglesby Ave
Chicago, IL 60649-2516

Mailing address

7128 S Oglesby Ave
Chicago, IL 60649-2516

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1063857530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 S OGLESBY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492516",
            "telephone_number": "773-712-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-712-7928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "APPLY FOR",
            "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 29, 2013; 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.