Careride Non-Emergency Transportation, LLC

Primary specialty

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

Legal business name

CARERIDE NON-EMERGENCY TRANSPORTATION, LLC

Doing business as

CareRide Non-Emergency Transportation, LLC

Practice address

1519 Berry Patch LN
Granbury, TX 76048-2700

Phone

(817) 961-1191

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Ann Derstein, CEO

Title

Owner

Phone

(817) 961-1191

Specialties & licenses 1

Addresses

Other names 1

• CareRide Non-Emergency Transportation, LLC Doing business as

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1336920776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 BERRY PATCH LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482700",
            "telephone_number": "817-961-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 BERRY PATCH LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482700",
            "telephone_number": "817-961-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARERIDE NON-EMERGENCY TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "DERSTEIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-961-1191",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareRide Non-Emergency Transportation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Campbell
• Madalyn Michelle Cano, LMSW
• Monica Resendez Cantu, APRN, FNP-C
• Morgan Marie Caraway, PA-C
• David Cardona
• Sarah Carnett, LCSW
• Mark Carney, CST/CSFA
• Bruce D Carpenter, M.D.
• Carrie L Morris, MD, PLLC
• Paula Carroll, PT, DPT

• Non-emergency Medical Transport (VAN) in Granbury, TX
• Providers in Granbury, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.