Organization Active NPI

Medi2Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Springfield, IL
National Provider Identifier
1225795255
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI2RIDE LLC
Practice address
1 W Old State Capitol PLZ Ste 805
Springfield, IL 62701-1369
Phone
(773) 653-0233
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Shanta CoppageNPI 1295322287
Title
Owner
Phone
(773) 653-0233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 W Old State Capitol PLZ Ste 805
Springfield, IL 62701-1369

Mailing address

9531 S Utica Ave
Evergreen Park, IL 60805-2639
Phone (773) 653-0233

National Provider Directory

National Provider Directory

Locations

1 W Old State Capitol Plz
Ste 805
Springfield, IL 62701
Phone (618) 499-5344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1225795255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 S UTICA AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052639",
            "telephone_number": "773-653-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W OLD STATE CAPITOL PLZ STE 805",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011369",
            "telephone_number": "773-653-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI2RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "COPPAGE",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-653-0233"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.