JB Superior Enterprises LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JB SUPERIOR ENTERPRISES LLC

Practice address

2802 Colorado Ave
Rockford, IL 61109-1522

Phone

(779) 770-4830

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Phil Blakely

Title

Supervisor

Phone

(815) 793-5285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1780375188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 COLORADO AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611091522",
            "telephone_number": "779-770-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 COLORADO AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611091522",
            "telephone_number": "779-770-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB SUPERIOR ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "815-793-5285"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Rockford, IL
• Providers in Rockford, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.