Organization Active NPI

Sunrise Transite LC

  • Non-emergency Medical Transport (VAN)
  • Plover, WI
National Provider Identifier
1104744077
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jul 8, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100404780MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.