Your Destination Transportation, LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

YOUR DESTINATION TRANSPORTATION, LLC

Practice address

5044 W 127TH St
Alsip, IL 60803-3213

Phone

(708) 629-0486

Fax

(708) 629-0487

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Gloria J Boyd

Title

Owner

Phone

(708) 629-0486

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1801103304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 W 127TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033213",
            "telephone_number": "708-629-0486",
            "fax_number": "708-629-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 W 127TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033213",
            "telephone_number": "708-629-0486",
            "fax_number": "708-629-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DESTINATION TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-629-0486"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla White
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• Margaret Ann Wolf, MASSAGE THERAPIST
• Worth Township
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• Secured Medical Transport (VAN) in Alsip, IL
• Providers in Alsip, IL by specialty
• Secured Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.