Organization Active NPI

MGG Transportation, Inc

  • Non-emergency Medical Transport (VAN)
  • Olympia Fields, IL
National Provider Identifier
1780347385
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MGG TRANSPORTATION, INC
Practice address
3612 Lincoln Hwy Ste 5
Olympia Fields, IL 60461-1637
Phone
(866) 931-1756
Fax
(866) 273-3976
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Khamiya Beard
Title
President
Phone
(866) 931-1756

Specialties & licenses 1

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

Addresses

Primary practice location

3612 Lincoln Hwy Ste 5
Olympia Fields, IL 60461-1637

Mailing address

3612 Lincoln Hwy Ste 5
Olympia Fields, IL 60461-1637
Phone (866) 931-1756

Other identifiers 1

IdentifierTypeStateIssuer
7807181MedicaidIL

National Provider Directory

National Provider Directory

Locations

3612 Lincoln Hwy
Ste 5
Olympia Fields, IL 60461
Phone (866) 931-1756

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1780347385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY STE 5",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611637",
            "telephone_number": "866-931-1756",
            "fax_number": "866-273-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY STE 5",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611637",
            "telephone_number": "866-931-1756",
            "fax_number": "866-273-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGG TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KHAMIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-931-1756"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7807181",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.