BLACK ON GREEN TRANSPORTATION NPI 1396482998

NPI Information

NPI: 1396482998
Provider Name: BLACK ON GREEN TRANSPORTATION
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
4125 S VINCENNES AVE
CHICAGO, IL
ZIP 60653
Phone: (773) 299-0791
Get Directions

BLACK ON GREEN TRANSPORTATION is a private vehicle in Chicago, IL. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. BLACK ON GREEN TRANSPORTATION NPI is 1396482998. The provider is registered as an organization entity type.

The provider's business location address is:

4125 S VINCENNES AVE
CHICAGO, IL
ZIP 60653-714
Phone: (773) 299-0791

The provider's authorized official is Angelique Momon .
The authorized official title is Co-manager and has the following contact phone number (773) 299-0791.

The enumeration date for this NPI number is 5/16/2022 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »