Wild Rose Group, LLC

Primary specialty

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

Legal business name

WILD ROSE GROUP, LLC

Doing business as

Sage Medical Transit

Practice address

1091 S State St
Ukiah, CA 95482-5820

Phone

(707) 450-1936

NPI assigned

Sep 29, 2023

Organization subpart

No

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

Authorized official

Name

Adam Rose

Title

President

Phone

(925) 487-2327

Specialties & licenses 3

Addresses

Other names 1

• Sage Medical Transit Doing business as

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1629858493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1947",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954821947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825820",
            "telephone_number": "707-450-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-487-2327"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Medical Transit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sigrid White
• Vivian K White, CNM, FNM, RN
• Mimi Whittaker
• Carol Whittingslow
• Cynthia A Wiedemann
• Larissa Mae Wilkinson
• William Vainer Inc.
• Angela Marie Williams, D.C.
• Desiree Williams
• Jessie Williams

• Non-emergency Medical Transport (VAN) in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.