Organization Active NPI

Support a Friend Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Peoria, IL
National Provider Identifier
1861122426
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUPPORT A FRIEND TRANSPORTATION LLC
Practice address
729 E Behrends Ave
Peoria, IL 61603-3219
Phone
(309) 406-8363
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Mr. Dutch King Sr.
Title
Ceo
Phone
(309) 406-8363

Specialties & licenses 1

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

Addresses

Primary practice location

729 E Behrends Ave
Peoria, IL 61603-3219

Mailing address

729 E Behrends Ave
Peoria, IL 61603-3219
Phone (309) 406-8363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1861122426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E BEHRENDS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033219",
            "telephone_number": "309-406-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E BEHRENDS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033219",
            "telephone_number": "309-406-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT A FRIEND TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DUTCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-406-8363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.