Organization Active NPI

Allied Advantage Group

  • Non-emergency Medical Transport (VAN)
  • Homewood, IL
National Provider Identifier
1730588757
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ALLIED ADVANTAGE GROUP
Practice address
831 Maple Ave # 128
Homewood, IL 60430-2031
Phone
(773) 209-8081
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Deavolon Cotton
Title
President
Phone
(773) 209-8081

Specialties & licenses 1

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

Addresses

Primary practice location

831 Maple Ave # 128
Homewood, IL 60430-2031

Mailing address

831 Maple Ave # 128
Homewood, IL 60430-2031

National Provider Directory

National Provider Directory

Locations

831 Maple Ave
#128
Homewood, IL 60430
Phone (773) 209-8081

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1730588757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAPLE AVE # 128",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAPLE AVE # 128",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302031",
            "telephone_number": "773-209-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED ADVANTAGE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DEAVOLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-209-8081"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.