Organization Active NPI

Bacu Caspian Corp

  • Non-emergency Medical Transport (VAN)
  • Skokie, IL
National Provider Identifier
1194067157
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BACU CASPIAN CORP
Practice address
4801 Grove St
1W
Skokie, IL 60077-1725
Phone
(773) 290-4406
Fax
(847) 983-4551
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Mr. Ali Azimov
Title
Non-Emergency Medical Transport
Phone
(773) 290-4406

Specialties & licenses 1

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

Addresses

Primary practice location

4801 Grove St
1W
Skokie, IL 60077-1725

Mailing address

4801 Grove St
1W
Skokie, IL 60077-1725
Phone (773) 290-4406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1194067157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GROVE ST",
            "address_2": "1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771725",
            "telephone_number": "773-290-4406",
            "fax_number": "847-983-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 GROVE ST",
            "address_2": "1W",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771725",
            "telephone_number": "773-290-4406",
            "fax_number": "847-983-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACU CASPIAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "AZIMOV",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "NON-EMERGENCY MEDICAL TRANSPORT",
        "authorized_official_telephone_number": "773-290-4406",
        "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": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.