Organization Active NPI

Relax Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Wethersfield, CT
National Provider Identifier
1811528284
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RELAX RIDE LLC
Practice address
12 Wilcox St FL 2
Wethersfield, CT 06109-1250
Phone
(860) 328-9450
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Authorized official

Name
Tarik Abdallah Ali
Title
Owner
Phone
(860) 328-9450

Specialties & licenses 1

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

Addresses

Primary practice location

12 Wilcox St FL 2
Wethersfield, CT 06109-1250

Mailing address

12 Wilcox St FL 2
Wethersfield, CT 06109-1250
Phone (860) 328-9450

Other identifiers 1

IdentifierTypeStateIssuer
3653OtherCTGENERAL LIVERY SERVICE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL relaxridellc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1811528284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILCOX ST FL 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091250",
            "telephone_number": "860-328-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WILCOX ST FL 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091250",
            "telephone_number": "860-328-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "TARIK",
        "authorized_official_middle_name": "ABDALLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-328-9450"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL LIVERY SERVICE",
            "identifier": "3653",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "relaxridellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "NON EMERGENCY TRANSPORTION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12 Wilcox St Fl 2",
            "city": "Wethersfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061091250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.