Universal Ride Services LLC

Primary specialty

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

Legal business name

UNIVERSAL RIDE SERVICES LLC

Practice address

1155 Office Park Rd Apt 100
West Des Moines, IA 50265-2540

Phone

(515) 250-8917

NPI assigned

Jun 24, 2017

Organization subpart

No

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

Authorized official

Name

Sinishaw Bekele Iticha

Title

Chief Operation Officer

Phone

(515) 250-8917

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Doing business as

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154841781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 OFFICE PARK RD APT 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652540",
            "telephone_number": "515-250-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 OFFICE PARK RD APT 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652540",
            "telephone_number": "515-250-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL RIDE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ITICHA",
        "authorized_official_first_name": "SINISHAW",
        "authorized_official_middle_name": "BEKELE",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "515-250-8917"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343900000X",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Non-emergency Medical Transport (VAN) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.