Active NPI
SMSM Seniors Service LLC
- Non-emergency Medical Transport (VAN)
- Burr Ridge, IL
National Provider Identifier
1780280784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SMSM SENIORS SERVICE LLC
- Practice address
- 16W115 Hillside LN
Burr Ridge, IL 60527-6269 - Phone
- (813) 735-5412
- Fax
- (630) 444-7571
- NPI assigned
- Dec 7, 2020
- 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
- Nifein Mikhaiel
- Title
- Owner
- Phone
- (813) 735-5412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
16W115 Hillside LN
Burr Ridge, IL 60527-6269
Mailing address
16W115 Hillside LN
Burr Ridge, IL 60527-6269
Phone (813) 735-5412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1780280784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16W115 HILLSIDE LN",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276269",
"telephone_number": "813-735-5412",
"fax_number": "639-444-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16W115 HILLSIDE LN",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276269",
"telephone_number": "813-735-5412",
"fax_number": "630-444-7571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMSM SENIORS SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "MIKHAIEL",
"authorized_official_first_name": "NIFEIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-735-5412"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.