Mission Driven Transportation Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MISSION DRIVEN TRANSPORTATION INC

Practice address

18020 Michael Ave
Country Club Hills, IL 60478-5022

Phone

(630) 465-5704

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Marie Johnson-Reynolds

Title

Director

Phone

(708) 362-8960

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Johnson

  • Driver
  • Park Forest, IL
  • NPI 1467219683
  NPD

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1821562463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18020 MICHAEL AVE",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785022",
            "telephone_number": "630-465-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18020 MICHAEL AVE",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785022",
            "telephone_number": "630-465-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION DRIVEN TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-REYNOLDS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-362-8960"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Transportation,Inc.
• Takahya McIntyre, MSW, LCSW
• Bertha M Miller
• Miracles Revealed Chiropractic Wellness Center
• Miracles Revealed Chiropractic Wellness Center
• Arlene Mitchell, LSW
• Kenneth Mogbo
• Lillian Moore
• MPB Transportation Services Incorporation
• Bikram Singh Mudhar, PHARMD

• Transportation Broker in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Transportation Broker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.