Provider Demographics
NPI:1316220999
Name:ASSISTED TRAVEL
Entity Type:Organization
Organization Name:ASSISTED TRAVEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-362-8001
Mailing Address - Street 1:24449 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-1452
Mailing Address - Country:US
Mailing Address - Phone:888-872-6776
Mailing Address - Fax:815-478-3458
Practice Address - Street 1:1351 CHANNAHON RD
Practice Address - Street 2:
Practice Address - City:ROCKDALE
Practice Address - State:IL
Practice Address - Zip Code:60436-9530
Practice Address - Country:US
Practice Address - Phone:888-872-6776
Practice Address - Fax:815-478-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)