Organization Active NPI

Trinity Transport Enterprise LLC

  • Non-emergency Medical Transport (VAN)
  • Moline, IL
National Provider Identifier
1083131932
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRINITY TRANSPORT ENTERPRISE LLC
Practice address
4134 11TH Avenue a
Moline, IL 61265-2512
Phone
(309) 281-9356
NPI assigned
Aug 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Adama Ayika
Title
Chief Executive Officer
Phone
(309) 281-9356

Specialties & licenses 1

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

Addresses

Primary practice location

4134 11TH Avenue a
Moline, IL 61265-2512

Mailing address

4134 11TH Avenue a
Moline, IL 61265-2512
Phone (309) 644-2404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083131932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 11TH AVENUE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652512",
            "telephone_number": "309-644-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 11TH AVENUE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652512",
            "telephone_number": "309-281-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY TRANSPORT ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AYIKA",
        "authorized_official_first_name": "ADAMA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "309-281-9356"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.