Medride LLC

Primary specialty

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

Legal business name

MEDRIDE LLC

Practice address

2397 Alison Ave
Pingree Grove, IL 60140-6456

Phone

(773) 644-0488

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By 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

Mogtba Mashi

Title

Manager/Owner

Phone

(773) 644-0488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1386450740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 ALISON AVE",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601406456",
            "telephone_number": "773-644-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 ALISON AVE",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601406456",
            "telephone_number": "773-644-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "MASHI",
        "authorized_official_first_name": "MOGTBA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "773-644-0488"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Sue Kruchten
• Gina Lawrence, LCPC
• Angela Christine Leeser, MSW, LCSW
• Katherine Lynn Leiva, RDH
• Isabella Malek, MOT
• Rebecca Ann Mensching, ATC, RN
• Dianne Joy Mindac, BEHAVIOR TECHNICIAN
• Northwest Dentiq Center P.C. (Pingree Smile Center)
• Nursetalk Mental Wellness LLC
• Kelly E O'Keefe, LCSW

• Non-emergency Medical Transport (VAN) in Pingree Grove, IL
• Providers in Pingree Grove, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.