Ridesource Holdings

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

RIDESOURCE HOLDINGS

Practice address

4600 W Camelback Rd
Glendale, AZ 85301-7609

Phone

(602) 200-5500

Fax

(602) 200-5505

NPI assigned

Feb 3, 2012

Organization subpart

Yes

Parent organization

DISCOUNT CABAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Sylvan

Title

Controller

Phone

(602) 200-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Total Transit Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1043582299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017609",
            "telephone_number": "602-200-5500",
            "fax_number": "602-200-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017609",
            "telephone_number": "602-200-5500",
            "fax_number": "602-200-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDESOURCE HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISCOUNT CAB",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SYLVAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "602-200-5500"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376695163",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Riddle, CRNA
• Spencer M Riddle, PHARM. D.
• Ridelink LLC
• Caroline Grace Rideout
• Journey Rideout
• Ridesource Inc
• Ellen Brandfon Riech, PHD
• Foli Riegle, OTR
• Kevin Richard Wayne Riegle, ATC
• Melissa Jo Ries, DPM

• Transportation Broker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Transportation Broker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.