Active NPI
CHPH Transportation
- Non-emergency Medical Transport (VAN)
- Philadelphia, PA
National Provider Identifier
1821761990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CHPH TRANSPORTATION
- Practice address
- 625 E Girard Ave Apt 1
Philadelphia, PA 19125-3400 - Phone
- (267) 439-0966
- Fax
- (215) 425-4400
- NPI assigned
- Jul 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ikishia Nataye Jackson, REGISTERED NURSE
- Title
- Administrator/ Owner
- Phone
- (267) 439-0966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Transportation Network Company | 342000000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
625 E Girard Ave Apt 1
Philadelphia, PA 19125-3400
Mailing address
625 E Girard Ave Apt 1
Philadelphia, PA 19125-3400
Phone (267) 439-0966
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1912357682
Non-Emergency Medical Transport (Van)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627257600000",
"number": "1821761990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E GIRARD AVE APT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253400",
"telephone_number": "267-439-0966",
"fax_number": "215-425-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E GIRARD AVE APT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253400",
"telephone_number": "267-439-0966",
"fax_number": "215-425-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHPH TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "IKISHIA",
"authorized_official_middle_name": "NATAYE",
"authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
"authorized_official_telephone_number": "267-439-0966",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.