Celeritas Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CELERITAS AMBULANCE LLC

Practice address

630 Tollgate Rd Ste B
Elgin, IL 60123-9302

Phone

(773) 951-3255

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

William Kidd, MR.

Title

Authorize Official/Owner

Phone

(773) 951-3255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1851093280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TOLLGATE RD STE B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239302",
            "telephone_number": "773-951-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TOLLGATE RD STE B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239302",
            "telephone_number": "773-951-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELERITAS AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL/OWNER",
        "authorized_official_telephone_number": "773-951-3255",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Elgin, IL
• Providers in Elgin, IL by specialty
• Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.