Sunride Express LLC

Primary specialty

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

Legal business name

SUNRIDE EXPRESS LLC

Practice address

804 Prism Valley Dr
Mishawaka, IN 46544-5794

Phone

(574) 607-2279

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lacquisha Hunt

Title

Owner

Phone

(574) 607-2279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1699502146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 PRISM VALLEY DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465445794",
            "telephone_number": "574-607-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 PRISM VALLEY DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465445794",
            "telephone_number": "574-607-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRIDE EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "LACQUISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-607-2279",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.