Organization Active NPI

Xtra Mile Transport Nemt LLC

  • Non-emergency Medical Transport (VAN)
  • South Holland, IL
National Provider Identifier
1710385547
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
XTRA MILE TRANSPORT NEMT LLC
Practice address
16611 Elm St
South Holland, IL 60473-2930
Phone
(708) 299-7210
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Janet Hodges
Title
Owner
Phone
(708) 299-7210

Specialties & licenses 1

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

Addresses

Primary practice location

16611 Elm St
South Holland, IL 60473-2930

Mailing address

16611 Elm St
South Holland, IL 60473-2930
Phone (708) 299-7210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1710385547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16611 ELM ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732930",
            "telephone_number": "708-299-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16611 ELM ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732930",
            "telephone_number": "708-299-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA MILE TRANSPORT NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-299-7210"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.