Provider Demographics
NPI:1649685355
Name:ATA TRANSPORTATION ENTERPRISE
Entity type:Organization
Organization Name:ATA TRANSPORTATION ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWOPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-833-8553
Mailing Address - Street 1:3844 JANIS DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-2700
Mailing Address - Country:US
Mailing Address - Phone:708-833-8553
Mailing Address - Fax:708-481-1223
Practice Address - Street 1:3844 JANIS DR
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-2700
Practice Address - Country:US
Practice Address - Phone:708-833-8553
Practice Address - Fax:708-481-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILJ52081680967343900000X
ILS12078049224343900000X
ILS12007057651343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)