Organization Active NPI

Esah Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Rockford, IL
National Provider Identifier
1700332939
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7368MC Issued in IL
Legal business name
ESAH TRANSPORTATION LLC
Practice address
815 N Church St Ste 105
Rockford, IL 61110
Phone
(847) 489-9000
Fax
(815) 489-9001
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Sergey Yakovlev
Title
President
Phone
(847) 202-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 7368MC IL Primary

Addresses

Primary practice location

815 N Church St Ste 105
Rockford, IL 61110

Mailing address

49 W Slade St Ste 2
Palatine, IL 60067
Phone (847) 202-1249

National Provider Directory

National Provider Directory

Locations

815 N Church St
Ste 105
Rockford, IL 61103
Phone (847) 489-9000

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1700332939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W SLADE ST STE 2",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60067",
            "telephone_number": "847-202-1249",
            "fax_number": "847-496-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N CHURCH ST STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61110",
            "telephone_number": "847-489-9000",
            "fax_number": "815-489-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESAH TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "YAKOVLEV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-202-1249"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "7368MC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.