Organization Active NPI

Boan Ride Inc

  • Non-emergency Medical Transport (VAN)
  • Orland Park, IL
National Provider Identifier
1508696436
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BOAN RIDE INC
Practice address
10653 W 154TH St
Orland Park, IL 60462-6036
Phone
(773) 319-9476
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Olaniyi Oladele
Title
Owner
Phone
(773) 319-9476

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

10653 W 154TH St
Orland Park, IL 60462-6036

Mailing address

10653 W 154TH St
Orland Park, IL 60462-6036
Phone (773) 319-9476

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1508696436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10653 W 154TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626036",
            "telephone_number": "773-319-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10653 W 154TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626036",
            "telephone_number": "773-319-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOAN RIDE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "OLADELE",
        "authorized_official_first_name": "OLANIYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-319-9476"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.