Individual provider Active NPI

Leron Hargrove-Head

  • Non-emergency Medical Transport (VAN)
  • Country Club Hills, IL
National Provider Identifier
1720687080
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
16819 Glen Oaks Dr
Country Club Hills, IL 60478-2147
Phone
(708) 966-7562
NPI assigned
Oct 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

16819 Glen Oaks Dr
Country Club Hills, IL 60478-2147

Mailing address

16819 Glen Oaks Dr
Country Club Hills, IL 60478-2147
Phone (708) 966-7562

Other names 1

  • Mr. Leron Head Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1720687080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16819 GLEN OAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782147",
            "telephone_number": "708-966-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16819 GLEN OAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782147",
            "telephone_number": "708-966-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE-HEAD",
        "first_name": "LERON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LERON",
            "last_name": "HEAD",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 19, 2020; 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.