Active NPI
Living Golden Elder Ride Virginia Transport LLC
- Non-emergency Medical Transport (VAN)
- Richmond, VA
National Provider Identifier
1639714827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- LIVING GOLDEN ELDER RIDE VIRGINIA TRANSPORT LLC
- Practice address
- 4352 Mylan Rd
Richmond, VA 23223-2274 - Phone
- (804) 833-4477
- Fax
- (804) 918-9007
- NPI assigned
- Nov 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Johnson-Fisher
- Title
- Managing Member
- Phone
- (804) 833-4477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
4352 Mylan Rd
Richmond, VA 23223-2274
Mailing address
4352 Mylan Rd
Richmond, VA 23223-2274
Phone (804) 833-4477
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573516800000",
"number": "1639714827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4352 MYLAN RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232274",
"telephone_number": "804-833-4477",
"fax_number": "804-833-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4352 MYLAN RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232274",
"telephone_number": "804-833-4477",
"fax_number": "804-918-9007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING GOLDEN ELDER RIDE VIRGINIA TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A",
"authorized_official_last_name": "JOHNSON-FISHER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "804-833-4477"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.