Organization Active NPI

MLS Rides LLC

  • Non-emergency Medical Transport (VAN)
  • Saint Cloud, MN
National Provider Identifier
1205631942
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MLS RIDES LLC
Practice address
2053 49TH St SE
Saint Cloud, MN 56304-8513
Phone
(763) 486-9014
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Jackie Marie Rossman, ETC
Title
Manager
Phone
(763) 486-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2053 49TH St SE
Saint Cloud, MN 56304-8513

Mailing address

2053 49TH St SE
Saint Cloud, MN 56304-8513
Phone (763) 486-9014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1205631942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 49TH ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563048513",
            "telephone_number": "763-486-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 49TH ST SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563048513",
            "telephone_number": "763-486-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLS RIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "ROSSMAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-486-9014",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.