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AWESOME STAR ENTERPRISE INC NPI 1861863532


NPI Information

NPI: 1861863532
Provider Name: AWESOME STAR ENTERPRISE INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
15525 S PARK AVE
SUITE 100
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 357-1052
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AWESOME STAR ENTERPRISE INC is a non emergency medical transport van in South Holland, IL. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. AWESOME STAR ENTERPRISE INC NPI is 1861863532. The provider is registered as an organization entity type.

The provider's business location address is:

15525 S PARK AVE
SUITE 100
SOUTH HOLLAND, IL
ZIP 60473-308
Phone: (708) 357-1052
Fax: (888) 510-2447

The provider's authorized official is Kewana Reese .
The authorized official title is Owner and has the following contact phone number (773) 531-9787.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/7/2015.


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
1343900000XNon-emergency Medical Transport (VAN)Foreign CountryYes

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: 5/5/2024

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