NPIMap

Organization Active NPI

Pride Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Fredericksburg, VA
National Provider Identifier
1124482286
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T60873761 Issued in VA
Legal business name
PRIDE TRANSPORTATION, LLC
Practice address
27 Pendleton Rd
Fredericksburg, VA 22405-3040
Phone
(540) 419-7766
Fax
(540) 373-7766
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Ms. Latarsha Pride
Title
Owner - Member
Phone
(540) 419-7766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T60873761 VA Primary
Private Vehicle 347C00000X T60873761 VA

Addresses

Primary practice location

27 Pendleton Rd
Fredericksburg, VA 22405-3040

Mailing address

27 Pendleton Rd
Fredericksburg, VA 22405-3040
Phone (540) 419-7766

Other identifiers 1

IdentifierTypeStateIssuer
IR-292OtherVAVIRGINIA COMMON CARRIER OVER IRREGULAR ROUTES AUTHORIZED CERTIFICATE

National Provider Directory

National Provider Directory
Tax ID family
Pride Transportation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1124482286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PENDLETON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224053040",
            "telephone_number": "540-419-7766",
            "fax_number": "540-373-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PENDLETON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224053040",
            "telephone_number": "540-419-7766",
            "fax_number": "540-373-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "LATARSHA",
        "authorized_official_title_or_position": "OWNER - MEMBER",
        "authorized_official_telephone_number": "540-419-7766",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "T60873761",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": "T60873761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA COMMON CARRIER OVER IRREGULAR ROUTES AUTHORIZED CERTIFICATE",
            "identifier": "IR-292",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.