Cardinal Ride Service, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CARDINAL RIDE SERVICE, LLC

Practice address

2495 Oak Grove Rd
Lebanon, TN 37090-1018

Phone

(615) 454-1273

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Susan Bane Fagan

Title

Director

Phone

(615) 454-1273

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1124624309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 OAK GROVE RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370901018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 OAK GROVE RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370901018",
            "telephone_number": "615-454-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL RIDE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-454-1273"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "1001732771",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "2495 Oak Grove Rd",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370901018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.