Provider Demographics
NPI:1093430548
Name:CHAUFFEURED SENIORS
Entity Type:Organization
Organization Name:CHAUFFEURED SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-790-5975
Mailing Address - Street 1:20139 OREGON TRL
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1143
Mailing Address - Country:US
Mailing Address - Phone:577-379-0597
Mailing Address - Fax:
Practice Address - Street 1:20139 OREGON TRL
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1143
Practice Address - Country:US
Practice Address - Phone:577-379-0597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)