Organization Active NPI

Ruach Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Country Club Hills, IL
National Provider Identifier
1558191395
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RUACH TRANSPORTATION LLC
Doing business as
Ruach Transportation LLC
Practice address
16916 Sunset Ridge Dr
Country Club Hills, IL 60478-2154
Phone
(708) 864-0254
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Tiara Jakes
Title
Ceo/ Owner/Operator
Phone
(708) 864-0254

Specialties & licenses 1

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

Addresses

Primary practice location

16916 Sunset Ridge Dr
Country Club Hills, IL 60478-2154

Mailing address

16916 Sunset Ridge Dr
Country Club Hills, IL 60478-2154

Other names 1

  • RUACH TRANSPORTATION LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1558191395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16916 SUNSET RIDGE DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16916 SUNSET RIDGE DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782154",
            "telephone_number": "708-864-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUACH TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "JAKES",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "CEO/ OWNER/OPERATOR",
        "authorized_official_telephone_number": "708-864-0254"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUACH TRANSPORTATION LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.