NPIMap

Organization Active NPI

Safeway Medicar

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1609150572
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFEWAY MEDICAR
Practice address
4915 N Monticello Ave
Chicago, IL 60625-5653
Phone
(773) 458-9020
NPI assigned
Oct 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
D11127417As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mr. Edmundo Jr. Hechanova Cortez Jr.
Title
Manager/Owmer
Phone
(773) 458-9020

Specialties & licenses 1

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

Addresses

Primary practice location

4915 N Monticello Ave
Chicago, IL 60625-5653

Mailing address

4915 North Monticello Ave.
Chicago, IL 60625

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory
Part of
Safeway Medicar

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1609150572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 NORTH MONTICELLO AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 N MONTICELLO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255653",
            "telephone_number": "773-458-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY MEDICAR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D11127417",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "EDMUNDO JR.",
        "authorized_official_middle_name": "HECHANOVA",
        "authorized_official_title_or_position": "MANAGER/OWMER",
        "authorized_official_telephone_number": "773-458-9020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 10, 2011; 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.