NPIMap

Organization Active NPI

Safeway Transit and Ambulance Service, Inc

  • Land Ambulance
  • South Holland, IL
National Provider Identifier
1396050456
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
362082201 Issued in IL
Legal business name
SAFEWAY TRANSIT AND AMBULANCE SERVICE, INC
Practice address
219 E 170TH St
South Holland, IL 60473-3309
Phone
(708) 372-0466
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
D'VINE TRANSPORTATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Kimmyatta Johnson-Thurmon
Title
Owner/Partner
Phone
(888) 929-8728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 362082201 IL Primary

Addresses

Primary practice location

219 E 170TH St
South Holland, IL 60473-3309

Mailing address

219 E 170TH St
South Holland, IL 60473-3309
Phone (708) 372-0466

National Provider Directory

National Provider Directory
Part of
D'Vine Transportation Inc

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1396050456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 170TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733309",
            "telephone_number": "708-372-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 170TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733309",
            "telephone_number": "708-372-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY TRANSIT AND AMBULANCE SERVICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D'VINE TRANSPORTATION, INC",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-THURMON",
        "authorized_official_first_name": "KIMMYATTA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "888-929-8728"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "362082201",
            "primary": true
        }
    ],
    "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 Aug 13, 2010; 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.