Active NPI
Powerhousetrucking&Transportation
- Non-emergency Medical Transport (VAN)
- Chicago, IL
National Provider Identifier
1487300653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | williamsdemond75@icloud.com |
National Provider Directory
National Provider DirectoryNPI 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.