Elyon Ride LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

ELYON RIDE LLC

Practice address

7231 Melrose LN
Rosharon, TX 77583-4457

Phone

(832) 762-9095

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Izonderera DieudonneNPI 1568167880

Title

Manager

Phone

(832) 762-9095

Specialties & licenses 2

Addresses

Other names 1

• elyon ride llc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Izonderera Dieudonne

  • Patient Transport Certified Respiratory Therapist
  • Rosharon, TX
  • NPI 1568167880
  NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1497440598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 MELROSE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834457",
            "telephone_number": "832-762-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 MELROSE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834457",
            "telephone_number": "832-762-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYON RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "DIEUDONNE",
        "authorized_official_first_name": "IZONDERERA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-762-9095"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "elyon ride llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "elyon ride llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Rosharon, TX
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.