Organization Active NPI

Sunrose

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1144628421
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
P23678563200 Issued in IL
Legal business name
SUNROSE
Practice address
4220 W Belmont Ave
Suite 207
Chicago, IL 60641-4620
Phone
(708) 945-5793
Fax
(708) 453-2372
NPI assigned
Dec 18, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. Sunday Enmil Pastores, TRANSPORTATION
Title
Proprietor
Phone
(708) 945-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X P23678563200 IL Primary

Addresses

Primary practice location

4220 W Belmont Ave
Suite 207
Chicago, IL 60641-4620

Mailing address

4220 W Belmont Ave
Suite 207
Chicago, IL 60641-4620
Phone (708) 945-5793

Other identifiers 1

IdentifierTypeStateIssuer
A2741KD1MedicaidIL

National Provider Directory

National Provider Directory

Locations

4220 W Belmont Ave
Ste 207
Chicago, IL 60641
Phone (708) 945-5793

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1144628421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W BELMONT AVE",
            "address_2": "SUITE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414620",
            "telephone_number": "708-945-5793",
            "fax_number": "708-453-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W BELMONT AVE",
            "address_2": "SUITE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414620",
            "telephone_number": "708-945-5793",
            "fax_number": "708-453-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNROSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "PASTORES",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "ENMIL",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "708-945-5793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TRANSPORTATION"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "P23678563200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A2741KD1",
            "state": "IL"
        }
    ],
    "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 Dec 18, 2014; 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.