Connect Care Trans LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

CONNECT CARE TRANS LLC

Practice address

2454 W Peterson Ave
Chicago, IL 60659-4113

Phone

(773) 297-8000

Fax

(773) 326-2455

NPI assigned

Sep 16, 2020

Last updated

Nov 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed H Jimale

Title

President

Phone

(773) 297-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1407462336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594113",
            "telephone_number": "773-297-8000",
            "fax_number": "773-326-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594113",
            "telephone_number": "773-297-8000",
            "fax_number": "773-326-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT CARE TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "JIMALE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-297-8000"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.