NPIMap

Organization Active NPI

Genesis Global Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1801412945
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GENESIS GLOBAL TRANSPORTATION LLC
Practice address
4655 S Lake Park Ave Apt 320
Chicago, IL 60653-4534
Phone
(872) 802-6667
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Barbara J Blount
Title
Admin.
Phone
(872) 802-6667

Specialties & licenses 1

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

Addresses

Primary practice location

4655 S Lake Park Ave Apt 320
Chicago, IL 60653-4534

Mailing address

4655 S Lake Park Ave Apt 320
Chicago, IL 60653-4534
Phone (872) 802-6667

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1801412945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 S LAKE PARK AVE APT 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534534",
            "telephone_number": "872-802-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 S LAKE PARK AVE APT 320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534534",
            "telephone_number": "872-802-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS GLOBAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN.",
        "authorized_official_telephone_number": "872-802-6667"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.