Roadrunner Medical Transportation Service

Primary specialty

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

License

D02721811 Issued in AZ

Legal business name

ROADRUNNER MEDICAL TRANSPORTATION SERVICE

Practice address

3870 W Alameda Rd
Glendale, AZ 85310-3302

Phone

(623) 434-2185

Fax

(623) 434-2185

NPI assigned

Mar 14, 2011

Organization subpart

Yes

Parent organization

SANCTUARY 1 ASSISTED LIVINGAs reported in NPPES

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

Authorized official

Name

Mr. Kevin L Williams

Title

Owner

Phone

(623) 434-2185

Specialties & licenses 1

Addresses

Part of

Roadrunner Medical Transportation Service

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sanctuary 1 Assisted Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Glendale, AZ
  • NPI 1821896671
  NPPES parent name

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1164720231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 W ALAMEDA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103302",
            "telephone_number": "623-434-2185",
            "fax_number": "623-434-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W ALAMEDA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103302",
            "telephone_number": "623-434-2185",
            "fax_number": "623-434-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER MEDICAL TRANSPORTATION SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANCTUARY 1 ASSISTED LIVING",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-434-2185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "D02721811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rivera, PH.D. CCC-SLP
• Maria Riveron Perez
• Monique Michelle Rivers, DBH, MSN, RN
• Shuaa Ali Rizvi
• RJS Healthcare LLC
• Roadrunner Oxygen Service, Inc.
• Audra Robbins
• Riley Robbins
• Betsy Robello, LMT
• Idris Roberson

• Non-emergency Medical Transport (VAN) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.