Organization Active NPI

Lake Shore Medical Rides LLC

  • Non-emergency Medical Transport (VAN)
  • Sandusky, OH
National Provider Identifier
1376407320
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LAKE SHORE MEDICAL RIDES LLC
Practice address
1655 N Larchmont Dr
Sandusky, OH 44870-4320
Phone
(419) 239-7379
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Eddrina Nickcole Walker
Title
Ceo/Owner
Phone
(419) 239-7379

Specialties & licenses 1

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

Addresses

Primary practice location

1655 N Larchmont Dr
Sandusky, OH 44870-4320

Mailing address

1655 N Larchmont Dr
Sandusky, OH 44870-4320
Phone (419) 239-7379

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1376407320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N LARCHMONT DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704320",
            "telephone_number": "419-239-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N LARCHMONT DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704320",
            "telephone_number": "419-239-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE MEDICAL RIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "EDDRINA",
        "authorized_official_middle_name": "NICKCOLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "419-239-7379"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.