Grannies Ride, LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

DRX619 Issued in AK

Legal business name

GRANNIES RIDE, LLC

Practice address

4670 Reka Dr BLDG G
Anchorage, AK 99508-3606

Phone

(907) 677-5950

Fax

(907) 677-5920

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Roberto Escuadro Yamat

Title

Administrator

Phone

(907) 677-5920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1407190762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 REKA DR BLDG G",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083606",
            "telephone_number": "907-677-5950",
            "fax_number": "907-677-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 REKA DR BLDG G",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083606",
            "telephone_number": "907-677-5950",
            "fax_number": "907-677-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNIES RIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "YAMAT",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "ESCUADRO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-677-5920"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "AK",
            "license": "DRX619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail L Granath, PA-C
• Grand Rising Transitional Housing
• Grandma K'S Place
• Marin Granholm, MD
• Kelsey Granley, DPT
• Grant Searles
• Deborah Grant-Hicks
• Charles Dino Grant
• Denise Grant
• Madeleine Grant, MD

• Secured Medical Transport (VAN) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Secured Medical Transport (VAN) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.