Active NPI
Inspired by Koko
- Non-emergency Medical Transport (VAN)
- Normal, IL
National Provider Identifier
1548022742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- INSPIRED BY KOKO
- Doing business as
- Kedali Medical Transportation
- Practice address
- 3590 Napa LN
Normal, IL 61761-9346 - Phone
- (314) 565-5463
- NPI assigned
- Jan 24, 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
- John Olorunda
- Title
- President
- Phone
- (314) 565-5463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3590 Napa LN
Normal, IL 61761-9346
Mailing address
3590 Napa LN
Normal, IL 61761-9346
Other names 1
- Kedali Medical Transportation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1548022742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3590 NAPA LN",
"city": "NORMAL",
"state": "IL",
"postal_code": "617619346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 NAPA LN",
"city": "NORMAL",
"state": "IL",
"postal_code": "617619346",
"telephone_number": "314-565-5463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRED BY KOKO",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "OLORUNDA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-565-5463"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kedali Medical Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.