Provider Demographics
NPI:1629516745
Name:SIGNATURE CLASS VALET LTD
Entity Type:Organization
Organization Name:SIGNATURE CLASS VALET LTD
Other - Org Name:PARAMOUNT VALET LTD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-638-2538
Mailing Address - Street 1:2206 N MAIN ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-9140
Mailing Address - Country:US
Mailing Address - Phone:630-638-2538
Mailing Address - Fax:630-784-0393
Practice Address - Street 1:2206 N MAIN ST
Practice Address - Street 2:SUITE 230
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-9140
Practice Address - Country:US
Practice Address - Phone:630-638-2538
Practice Address - Fax:630-784-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)