Greenlight Med Ride, LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

GREENLIGHT MED RIDE, LLC

Practice address

4302 Acorn Creek TRL
Killeen, TX 76542-7869

Phone

(254) 312-0255

NPI assigned

Apr 2, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Ford

Title

Owner

Phone

(254) 312-0255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1790537025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 THE CREEKS DR",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765718177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ACORN CREEK TRL",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427869",
            "telephone_number": "254-312-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLIGHT MED RIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-312-0255"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Green, LPC LMFT NCC
• Deborah Denise Green, BA, MSOT
• Donovan George Green, O.D.
• Kelly Elaine Green, LCSW
• Lindsey Jade Green
• Greentree Health
• Dana Michelle Gregory, LMT, MTI, ATSI, BS
• Michael H Gremillion, MHPS / RSPS
• Olivia Grenon
• Jessica Gresham

• Secured Medical Transport (VAN) in Killeen, TX
• Providers in Killeen, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.