NPIMap

Organization Active NPI

Healthlink LLC

  • Non-emergency Medical Transport (VAN)
  • South Bend, IN
National Provider Identifier
1851965305
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HEALTHLINK LLC
Practice address
501 Widener LN
South Bend, IN 46614-3233
Phone
(502) 542-2054
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Joffree Juntilla BasiliscoNPI 1730386640
Title
President
Phone
(150) 254-2205

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 1

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

Addresses

Primary practice location

501 Widener LN
South Bend, IN 46614-3233

Mailing address

501 Widener LN
South Bend, IN 46614-3233
Phone (502) 542-2054

Other names 2

  • Healthlink Medical Transport Doing business as
  • Healthlink Transport Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL transporthealthlink@gmail.com Health Information Exchange (HIE)
CONNECT URL transporthealthlink@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1851965305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WIDENER LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143233",
            "telephone_number": "502-542-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WIDENER LN",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143233",
            "telephone_number": "502-542-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BASILISCO",
        "authorized_official_first_name": "JOFFREE",
        "authorized_official_middle_name": "JUNTILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "150-254-2205"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "transporthealthlink@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 Widener Ln",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466143233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "transporthealthlink@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 Widener Ln",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466143233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthlink Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthlink Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.