Organization Active NPI

Care Ride, LLC

  • Secured Medical Transport (VAN)
  • Clearwater, FL
National Provider Identifier
1366719890
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
CARE RIDE, LLC
Practice address
4625 E Bay Dr
Suite 105
Clearwater, FL 33764-5738
Phone
(727) 866-1193
Fax
(727) 866-0148
NPI assigned
Nov 29, 2011
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mr. Douglas Michael Jonnson
Title
Administrator
Phone
(727) 866-1193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X FL Primary

Addresses

Primary practice location

4625 E Bay Dr
Suite 105
Clearwater, FL 33764-5738

Mailing address

4625 E Bay Dr
Suite 105
Clearwater, FL 33764-5738
Phone (727) 866-1193

National Provider Directory

National Provider Directory

Locations

4625 E Bay Dr
Ste 105
Clearwater, FL 33764
Phone (727) 281-1410

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1366719890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR",
            "address_2": "SUITE 105",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645738",
            "telephone_number": "727-866-1193",
            "fax_number": "727-866-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BAY DR",
            "address_2": "SUITE 105",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337645738",
            "telephone_number": "727-866-1193",
            "fax_number": "727-866-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE RIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "JONNSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-866-1193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.