Active NPI
MGG Transportation, Inc
- Non-emergency Medical Transport (VAN)
- Olympia Fields, IL
National Provider Identifier
1780347385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7807181 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.