Active NPI
Boan Ride Inc
- Non-emergency Medical Transport (VAN)
- Orland Park, IL
National Provider Identifier
1508696436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Driver | 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 DirectoryPractitioners & 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.
-
- Licensed Practical Nurse
- Orland Park, IL
- NPI 1487485280
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.