NPIMap

Organization Active NPI

Innovative Transport Enterprise, LLC

  • Non-emergency Medical Transport (VAN)
  • Rock Island, IL
National Provider Identifier
1073062030
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
INNOVATIVE TRANSPORT ENTERPRISE, LLC
Practice address
2239 24TH Street Apt 15C
Rock Island, IL 61201
Phone
(309) 631-4171
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mr. Jean Baptiste Twizerumukiza
Title
President/ Ceo
Phone
(309) 631-4171

Specialties & licenses 1

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

Addresses

Primary practice location

2239 24TH Street Apt 15C
Rock Island, IL 61201

Mailing address

2239 24TH St Apt 15C
Rock Island, IL 61201-4500
Phone (309) 631-4171

Other names 1

  • INNOVATIVE TRANSPORT Other name

National Provider Directory

National Provider Directory
Tax ID family
Innovative Transport Enterprise LLC3 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": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1073062030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 24TH ST APT 15C",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612014500",
            "telephone_number": "309-631-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 24TH STREET APT 15C",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "61201",
            "telephone_number": "309-631-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TRANSPORT ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "TWIZERUMUKIZA",
        "authorized_official_first_name": "JEAN BAPTISTE",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "309-631-4171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE TRANSPORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.