ELLEN KIMBERLY JACKSON
NPI 1730353400
Non-emergency Medical Transport (VAN) in Riverdale, IL

Q: What is Ellen Jackson's NPI number?

The NPI number for Ellen Jackson is 1730353400. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Q: What is Ellen Jackson's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Jackson was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2008

14122 S WABASH AVE, RIVERDALE, IL 60827(708) 841-9473(708) 880-0172 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ellen Kimberly Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN KIMBERLY JACKSON (NPI 1730353400) is an individual non-emergency medical transport (van) provider in Riverdale, Illinois and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1730353400

Entity TypeIndividualFemale

Primary Taxonomy343900000X

Provider Legal NameELLEN KIMBERLY JACKSON

Location Address14122 S WABASH AVERiverdale, IL 60827-2236

Mailing Address14122 S Wabash AveRiverdale, IL 60827-2236 · (708) 841-9473 · Fax (708) 880-0172

Phone(708) 841-9473

Fax(708) 880-0172

Sole ProprietorYes

Enumeration DateApril 14, 2008

✔ NPI 1730353400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

Definition

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.

14122 S WABASH AVE, Riverdale, IL 60827

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Jackson's NPI number?

The NPI number for Ellen Jackson is 1730353400. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Ellen Jackson located?

Ellen Jackson practices at 14122 S Wabash Ave, Riverdale, IL 60827. The listed phone number is (708) 841-9473.

What is Ellen Jackson's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Ellen Jackson was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.