{
"Npi": {
"NPI": "1861116923",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "OBA'S MEDICAL TRANSPORTATION LLC",
"ParentOrgTIN": null,
"OrgName": "OBA'S MEDICAL TRANSPORTATION LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10950 WALNUT HILL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75238-2392",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "312-468-4463",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10950 WALNUT HILL LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75238-2392",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "312-468-4463",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/03/2022",
"LastUpdateDate": "01/17/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OSUNLALU",
"AuthorizedOfficialFirstName": "ADEOLA",
"AuthorizedOfficialMiddleName": "BABAFEMI",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "TRANSPORTAION",
"AuthorizedOfficialTelephoneNumber": "312-468-4463",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343800000X",
"TaxonomyName": "Secured Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}