Indiana Medical Ride Services LLC

Primary specialty

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

Legal business name

INDIANA MEDICAL RIDE SERVICES LLC

Practice address

6312 Summershade Dr
Portage, IN 46368-0107

Phone

(317) 473-9591

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Mayrena N King

Title

Owner

Phone

(317) 473-9591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1356201560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SUMMERSHADE DR",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463680107",
            "telephone_number": "317-473-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 SUMMERSHADE DR",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463680107",
            "telephone_number": "317-473-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA MEDICAL RIDE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MAYRENA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-473-9591"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charron Hull
• Samantha Hunter, NP
• Christina Tran Huynh, DO
• Illiana Surgery and Medical Center, LLC
• Michael Imburgia, BA
• Lindsay E Ingersoll, OTR
• Inpatient Physician Group LLC
• Insights Counseling LLC
• Judith L Intagliata, SLP
• Internal Medicine,Geriatrics and Oncology Group, P.C.

• Non-emergency Medical Transport (VAN) in Portage, IN
• Providers in Portage, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.