Organization Active NPI

SMSM Seniors Service LLC

  • Non-emergency Medical Transport (VAN)
  • Burr Ridge, IL
National Provider Identifier
1780280784
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Dec 7, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.