Luna Star Transit LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LUNA STAR TRANSIT LLC

Practice address

430 N Horsman St
Rockford, IL 61101-6608

Phone

(888) 850-3586

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Corisa Tyler, OWNER

Title

Ceo

Phone

(888) 850-3586

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1407503675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BARTON BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033743",
            "telephone_number": "888-850-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N HORSMAN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611016608",
            "telephone_number": "888-850-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA STAR TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "CORISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-850-3586",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lu
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• Cydney Luhman
• Genita Luma
• Robert Harry Lund, M.D.
• Amy Lundgren, RN
• Annie Mae Lundgren
• Lundholm Physical Therapy
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• Non-emergency Medical Transport (VAN) in Rockford, IL
• Providers in Rockford, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.