Organization Active NPI

Easy Riding LLC

  • Non-emergency Medical Transport (VAN)
  • Jackson, TN
National Provider Identifier
1649647744
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EASY RIDING LLC
Practice address
1104 N Parkway Apt 9
Jackson, TN 38305-5010
Phone
(312) 523-6858
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Adonus Madison
Title
Owner
Phone
(312) 523-6858

Specialties & licenses 1

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

Addresses

Primary practice location

1104 N Parkway Apt 9
Jackson, TN 38305-5010

Mailing address

1104 N Parkway Apt 9
Jackson, TN 38305-5010
Phone (312) 523-6858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1649647744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N PARKWAY APT 9",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055010",
            "telephone_number": "312-523-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N PARKWAY APT 9",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055010",
            "telephone_number": "312-523-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY RIDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ADONUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-523-6858"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.