Provider Demographics
NPI:1972994168
Name:MAXEY ELITE TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:MAXEY ELITE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:MAXEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:708-502-2915
Mailing Address - Street 1:16233 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:IL
Mailing Address - Zip Code:60428-4636
Mailing Address - Country:US
Mailing Address - Phone:708-502-2915
Mailing Address - Fax:
Practice Address - Street 1:16233 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:MARKHAM
Practice Address - State:IL
Practice Address - Zip Code:60428-4636
Practice Address - Country:US
Practice Address - Phone:708-502-2915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILM20044273253343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)