Organization Active NPI

Latitude Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Cicero, IL
National Provider Identifier
1922683739
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LATITUDE TRANSPORTATION INC
Practice address
2328 S Central Ave
Cicero, IL 60804-2781
Phone
(708) 777-4919
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Juan Villasenor
Title
Ceo
Phone
(708) 777-4919

Specialties & licenses 1

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

Addresses

Primary practice location

2328 S Central Ave
Cicero, IL 60804-2781

Mailing address

2328 S Central Ave
Cicero, IL 60804-2781
Phone (708) 777-4919

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CICERO Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1922683739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042781",
            "telephone_number": "708-777-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 S CENTRAL AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042781",
            "telephone_number": "708-777-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "VILLASENOR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-777-4919"
    },
    "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": "CICERO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2328 S Central Ave",
            "city": "Cicero",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608042781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.