NPIMap

Organization Active NPI

Genesis III Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • South Holland, IL
National Provider Identifier
1184088759
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T51281384710 Issued in IL
Legal business name
GENESIS III TRANSPORTATION LLC
Practice address
64 W 154TH St
South Holland, IL 60473-1076
Phone
(708) 937-8339
Fax
(708) 566-5312
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Tania M Thompson
Title
President, Ceo
Phone
(708) 937-8339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T51281384710 IL Primary
Private Vehicle 347C00000X T51281384710 IL

Addresses

Primary practice location

64 W 154TH St
South Holland, IL 60473-1076

Mailing address

64 W 154TH St
South Holland, IL 60473-1076
Phone (708) 937-8339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1184088759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W 154TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731076",
            "telephone_number": "708-937-8339",
            "fax_number": "708-566-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 W 154TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731076",
            "telephone_number": "708-937-8339",
            "fax_number": "708-566-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS III TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "708-937-8339"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "T51281384710",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IL",
            "license": "T51281384710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.