Active NPI
Leo Non-Medical Transportation LLC
- Secured Medical Transport (VAN)
- Rockford, IL
National Provider Identifier
1770283129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- LEO NON-MEDICAL TRANSPORTATION LLC
- Practice address
- 4735 Wolverton LN Apt 5
Rockford, IL 61109-5531 - Phone
- (779) 772-1013
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Ntiringaniza
- Title
- Member
- Phone
- (779) 772-1013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | NU | Primary |
Addresses
Primary practice location
4735 Wolverton LN Apt 5
Rockford, IL 61109-5531
Mailing address
4735 Wolverton LN Apt 5
Rockford, IL 61109-5531
Phone (779) 772-1013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NON MEDICAL TRANSPORTATION |
Other names 1
- Leo Non-Medical Transportation LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1770283129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 WOLVERTON LN APT 5",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611095531",
"telephone_number": "779-772-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 WOLVERTON LN APT 5",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611095531",
"telephone_number": "779-772-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEO NON-MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "NTIRINGANIZA",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "779-772-1013"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICAL TRANSPORTATION",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leo Non-Medical Transportation LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.