Active NPI
Sunrise Transite LC
- Non-emergency Medical Transport (VAN)
- Plover, WI
National Provider Identifier
1104744077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SUNRISE TRANSITE LC
- Practice address
- 3331 Bridlewood Dr
Plover, WI 54467-3867 - Phone
- (920) 558-1822
- NPI assigned
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Farah A A Iimie
- Title
- Owner
- Phone
- (920) 558-1822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3331 Bridlewood Dr
Plover, WI 54467-3867
Mailing address
3331 Bridlewood Dr
Plover, WI 54467-3867
Phone (920) 558-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100404780 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1104744077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 BRIDLEWOOD DR",
"city": "PLOVER",
"state": "WI",
"postal_code": "544673867",
"telephone_number": "920-558-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 BRIDLEWOOD DR",
"city": "PLOVER",
"state": "WI",
"postal_code": "544673867",
"telephone_number": "920-558-1822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE TRANSITE LC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "A IIMIE",
"authorized_official_first_name": "FARAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-558-1822",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100404780",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plover, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.