Active NPI
Destinee Rides Inc.
- Non-emergency Medical Transport (VAN)
- Poughkeepsie, NY
National Provider Identifier
1114458783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 38934
- Legal business name
- DESTINEE RIDES INC.
- Practice address
- 11 Commons LN
Unit 12
Poughkeepsie, NY 12601-7615 - Phone
- (845) 464-4477
- Fax
- (845) 454-0736
- NPI assigned
- Mar 24, 2017
- 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
- Mrs. Rochelle A Irving, LPN
- Title
- Ceo
- Phone
- (845) 453-5113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 38934 | NY | Primary |
Addresses
Primary practice location
11 Commons LN
Unit 12
Poughkeepsie, NY 12601-7615
Mailing address
PO Box 4995
Poughkeepsie, NY 12602-4995
Phone (845) 464-4477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03765079 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1114458783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4995",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126024995",
"telephone_number": "845-464-4477",
"fax_number": "845-454-0736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 COMMONS LN",
"address_2": "UNIT 12",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126017615",
"telephone_number": "845-464-4477",
"fax_number": "845-454-0736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINEE RIDES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "IRVING",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-453-5113",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "38934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03765079",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.