Organization Active NPI

PHG Ultraryde, LLC

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
National Provider Identifier
1760905293
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PHG ULTRARYDE, LLC
Practice address
9033 Neptune Dr
Indianapolis, IN 46229-1170
Phone
(317) 747-1010
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Ms. Paula Haskin
Title
Owner
Phone
(317) 747-1010

Specialties & licenses 1

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

Addresses

Primary practice location

9033 Neptune Dr
Indianapolis, IN 46229-1170

Mailing address

973 N Shadeland Ave # 101
Indianapolis, IN 46219-4809
Phone (317) 747-1010

National Provider Directory

National Provider Directory

Locations

973 N Shadeland Ave
#101
Indianapolis, IN 46219

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1760905293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 N SHADELAND AVE # 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194809",
            "telephone_number": "317-747-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 NEPTUNE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462291170",
            "telephone_number": "317-747-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHG ULTRARYDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "HASKIN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-747-1010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.