Organization Active NPI

Living Golden Elder Ride Virginia Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
National Provider Identifier
1639714827
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Nov 12, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.