Organization Active NPI

Slide Transportation

  • Non-emergency Medical Transport (VAN)
  • Villa Park, IL
National Provider Identifier
1801444286
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SLIDE TRANSPORTATION
Practice address
339 N Yale Ave Apt G
Villa Park, IL 60181-1947
Phone
(708) 414-6601
NPI assigned
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Shannice Bryant
Title
Ceo
Phone
(708) 414-6601

Specialties & licenses 1

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

Addresses

Primary practice location

339 N Yale Ave Apt G
Villa Park, IL 60181-1947

Mailing address

339 N Yale Ave Apt G
Villa Park, IL 60181-1947
Phone (708) 414-6601

Other identifiers 1

IdentifierTypeStateIssuer
20190828862939MedicaidIL

Other names 1

  • Slide Transportation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL slidetransportation.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1801444286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N YALE AVE APT G",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811947",
            "telephone_number": "708-414-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N YALE AVE APT G",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811947",
            "telephone_number": "708-414-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SHANNICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-414-6601"
    },
    "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": "20190828862939",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "slidetransportation.com",
            "affiliation": "N",
            "address_1": "339 N Yale Ave Apt G",
            "city": "Villa Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601811947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Slide Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.