Organization Active NPI

My Ride Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Forrest City, AR
National Provider Identifier
1366782724
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
112005089 Issued in TN
Legal business name
MY RIDE TRANSPORTATION, LLC
Doing business as
My Ride Transportation, LLC
Practice address
224 Bond Dr
Forrest City, AR 72335-7822
Phone
(615) 779-4998
Fax
(501) 319-7482
NPI assigned
Feb 21, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mrs. Camille RolfeNPI 1740732171
Title
Vice President/ Executive Secretary
Phone
(615) 779-4998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 112005089 TN Primary

Addresses

Primary practice location

224 Bond Dr
Forrest City, AR 72335-7822

Mailing address

224 Bond Dr
Forrest City, AR 72335-7822
Phone (615) 779-4998

Other names 1

  • My Ride Transportation, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1366782724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BOND DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357822",
            "telephone_number": "615-779-4998",
            "fax_number": "501-319-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BOND DR",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357822",
            "telephone_number": "615-779-4998",
            "fax_number": "501-319-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RIDE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "VICE PRESIDENT/ EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "615-779-4998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "112005089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Ride Transportation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.