Rse Transportation, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

L2685 Issued in MI

Legal business name

RSE TRANSPORTATION, LLC

Practice address

14501 Abington Ave
Detroit, MI 48227-1407

Phone

(313) 835-2434

Fax

(313) 736-3562

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Joni Jerene Ezidore

Title

Office Manager

Phone

(313) 835-2434

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1861733222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 ABINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271407",
            "telephone_number": "313-835-2434",
            "fax_number": "313-736-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 ABINGTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271407",
            "telephone_number": "313-835-2434",
            "fax_number": "313-736-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "EZIDORE",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "JERENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-835-2434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "L2685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94812",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Detroit, MI
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• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.