Organization Active NPI

Green Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1790631489
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GREEN RIDE LLC
Practice address
1335 S Norwood Ave Apt 7
Green Bay, WI 54304-3573
Phone
(920) 301-0532
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Abdi Shafat
Title
Owner
Phone
(920) 301-0532

Specialties & licenses 1

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

Addresses

Primary practice location

1335 S Norwood Ave Apt 7
Green Bay, WI 54304-3573

Mailing address

1335 S Norwood Ave Apt 7
Green Bay, WI 54304-3573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1790631489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S NORWOOD AVE APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S NORWOOD AVE APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043573",
            "telephone_number": "920-301-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "SHAFAT",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-301-0532"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.