Provider Demographics
NPI:1740636323
Name:BALLOONS 4 U CORP
Entity type:Organization
Organization Name:BALLOONS 4 U CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-794-6167
Mailing Address - Street 1:17900 DIXIE HWY
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1754
Mailing Address - Country:US
Mailing Address - Phone:708-794-6167
Mailing Address - Fax:708-589-1341
Practice Address - Street 1:17900 DIXIE HWY
Practice Address - Street 2:SUITE 3B
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1754
Practice Address - Country:US
Practice Address - Phone:708-593-4221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)