Sure Ride Transport Inc.

Primary specialty

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

License

11662 Issued in IL

Legal business name

SURE RIDE TRANSPORT INC.

Practice address

17900 Dixie Hwy
Suite 3a
Homewood, IL 60430-1754

Phone

(708) 279-9421

NPI assigned

Sep 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Runisia D Tetter

Title

Ceo

Phone

(708) 279-9421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1154638146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HWY",
            "address_2": "SUITE 3A",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301754",
            "telephone_number": "708-279-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 DIXIE HWY",
            "address_2": "SUITE 3A",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301754",
            "telephone_number": "708-279-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE RIDE TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "TETTER",
        "authorized_official_first_name": "RUNISIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-279-9421",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Homewood, IL
• Providers in Homewood, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.