Organization Active NPI

Share a Ride Medical Transportation L.L.C.

  • Non-emergency Medical Transport (VAN)
  • Lake Charles, LA
National Provider Identifier
1770124059
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SHARE A RIDE MEDICAL TRANSPORTATION L.L.C.
Practice address
2532 Joe St
Lake Charles, LA 70601-7099
Phone
(337) 419-4630
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Mikael Eaglin
Title
Owner/Driver
Phone
(337) 419-4630

Specialties & licenses 1

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

Addresses

Primary practice location

2532 Joe St
Lake Charles, LA 70601-7099

Mailing address

2532 Joe St
Lake Charles, LA 70601-7099
Phone (337) 419-4630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1770124059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 JOE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017099",
            "telephone_number": "337-419-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 JOE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017099",
            "telephone_number": "337-419-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARE A RIDE MEDICAL TRANSPORTATION L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "EAGLIN",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "OWNER/DRIVER",
        "authorized_official_telephone_number": "337-419-4630"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.