JS Medivan Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JS MEDIVAN TRANSPORT LLC

Doing business as

JS Medivan

Practice address

8828 Niles Center Rd Apt 505
Skokie, IL 60077-5455

Phone

(847) 922-2588

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Zabat, LPN

Title

Owner/Manager

Phone

(847) 922-2588

Specialties & licenses 1

Addresses

Other names 1

• JS Medivan Doing business as

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1902623457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W DRESSER DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563018",
            "telephone_number": "847-922-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 NILES CENTER RD APT 505",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775455",
            "telephone_number": "847-922-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS MEDIVAN TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "ZABAT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "847-922-2588",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JS Medivan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Skokie, IL
• Providers in Skokie, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.