GLENDA SHORTER (NPI# 1043841299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043841299 |
| Entity Type | Individual |
| Full Name | GLENDA SHORTER |
| Practice Address |
4423 S Prairie Ave Apt G Chicago IL 60653-3202 |
| Practice Telephone | 3126226133 |
| Mailing Telephone | 3126226133 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4423 S PRAIRIE AVE APT G |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| 1801412945 | Genesis Global Transportation LLC | Non-emergency Medical Transport (VAN) | 4655 S Lake Park Ave Apt 320, Chicago, IL 60653-4534 | 2020-06-24 |
| 1295357317 | Tru Hard Money | Non-emergency Medical Transport (VAN) | 8342 S Green St, Chicago, IL 60620-3160 | 2020-05-12 |
| 1588283170 | Hdj Transport Corporation | Non-emergency Medical Transport (VAN) | 823 N Hamlin Ave, Chicago, IL 60651-3825 | 2020-04-13 |
| 1043846058 | Devin Artyse Brown | Non-emergency Medical Transport (VAN) | 7600 S Hoyne Ave, Chicago, IL 60620-5737 | 2020-03-21 |
| 1316572365 | Kyle Joshua Blakely | Non-emergency Medical Transport (VAN) | 6036 S Green St Apt 2, Chicago, IL 60621-2169 | 2020-03-10 |
| 1104451293 | Bojakz Companies | Non-emergency Medical Transport (VAN) | 7326 S Wabash Ave, Chicago, IL 60619-1625 | 2020-03-09 |
| 1699315812 | Kjr Depot Inc | Non-emergency Medical Transport (VAN) | 4740 W Fulton St, Chicago, IL 60644-2713 | 2020-01-15 |
| 1720624943 | Bianna Jones | Non-emergency Medical Transport (VAN) | 4637 W Adams St, Chicago, IL 60644-4632 | 2019-11-22 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.