Organization Active NPI

Med Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Schererville, IN
National Provider Identifier
1417788019
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MED RIDE LLC
Practice address
125 Juniper Dr
Schererville, IN 46375-1110
Phone
(773) 644-0488
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mogtba Mashi
Title
Manager
Phone
(773) 644-0488

Specialties & licenses 1

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

Addresses

Primary practice location

125 Juniper Dr
Schererville, IN 46375-1110

Mailing address

125 Juniper Dr
Schererville, IN 46375-1110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1417788019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JUNIPER DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JUNIPER DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751110",
            "telephone_number": "773-644-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MASHI",
        "authorized_official_first_name": "MOGTBA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-644-0488"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.