Active NPI
Ride-Medi LLC
- Non-emergency Medical Transport (VAN)
- Cleveland, OH
National Provider Identifier
1174114789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- RIDE-MEDI LLC
- Practice address
- 12200 Fairhill Rd
Cleveland, OH 44120-1058 - Phone
- (216) 505-5050
- Fax
- (844) 431-5950
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gloria J Miller
- Title
- Owner
- Phone
- (216) 659-7197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
12200 Fairhill Rd
Cleveland, OH 44120-1058
Mailing address
18374 Alexander Rd
Bedford, OH 44146-5204
Phone (216) 659-7197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424463 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1174114789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18374 ALEXANDER RD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441465204",
"telephone_number": "216-659-7197",
"fax_number": "844-431-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 FAIRHILL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201058",
"telephone_number": "216-505-5050",
"fax_number": "844-431-5950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDE-MEDI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-659-7197",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0424463",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.