Provider Demographics
NPI:1073108536
Name:EDWARDS TRANSPORTATION INC
Entity Type:Organization
Organization Name:EDWARDS TRANSPORTATION INC
Other - Org Name:NYLA-N-FRIENDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:708-224-6471
Mailing Address - Street 1:14736 DOBSON AVE
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-2313
Mailing Address - Country:US
Mailing Address - Phone:708-224-6471
Mailing Address - Fax:708-487-9293
Practice Address - Street 1:14736 DOBSON AVE
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-2313
Practice Address - Country:US
Practice Address - Phone:708-224-6471
Practice Address - Fax:708-487-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-06
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child