Village of Dolton

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03-04-1625 Issued in IL

Legal business name

VILLAGE OF DOLTON

Practice address

14022 Park Ave
Dolton, IL 60419-1029

Phone

(708) 849-2145

Fax

(708) 841-2863

NPI assigned

Dec 2, 2013

Organization subpart

Yes

Parent organization

VILLAGE OF DOLTONAs reported in NPPES

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

Authorized official

Name

Mr. Terrence Hughes

Title

Fire Chief

Phone

(708) 201-3250

Specialties & licenses 1

Addresses

Other names 1

• Village of Dolton Fire Department Doing business as

Tax ID family

Dorchester Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Village of Dolton

  • Assisted Living Facility
  • Dolton, IL
  • NPI 1679743959
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Village of Dolton

  • Assisted Living Facility
  • Dolton, IL
  • NPI 1679743959
  NPPES parent name

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1104257161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14022 PARK AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191029",
            "telephone_number": "708-849-2145",
            "fax_number": "708-841-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14022 PARK AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191029",
            "telephone_number": "708-849-2145",
            "fax_number": "708-841-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF DOLTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE OF DOLTON",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "708-201-3250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "03-04-1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Dolton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deane Cleo Taylor
• Jerry Thomas
• Robina Thompson-Glover
• Universal Living Care, Inc.
• Value Village Pharmacy
• Village of Dolton
• Walgreen Co
• Nikki Walker, COTA/L
• Tamarr Walker, BS
• Antrelene Ward, RN

• Ambulance in Dolton, IL
• Providers in Dolton, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.