Organization Active NPI

Powerhousetrucking&Transportation

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1487300653
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
POWERHOUSETRUCKING&TRANSPORTATION
Practice address
3854 W Division St
Chicago, IL 60651-2047
Phone
(630) 823-1054
NPI assigned
Feb 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Authorized official

Name
Mr. Demond Williams
Title
Ceo
Phone
(630) 823-1054

Specialties & licenses 1

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

Addresses

Primary practice location

3854 W Division St
Chicago, IL 60651-2047

Mailing address

3854 W Division St
Chicago, IL 60651-2047
Phone (630) 823-1054

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williamsdemond75@icloud.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1487300653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512047",
            "telephone_number": "630-823-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512047",
            "telephone_number": "630-823-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSETRUCKING&TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-823-1054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamsdemond75@icloud.com",
            "affiliation": "N",
            "address_1": "3854 W Division St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606512047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.