Organization Active NPI

Red Tire Cab LLC

Doing business as Red Tire Taxi

  • Taxi
  • Bloomington, IN
National Provider Identifier
1871929406
Registry record updated Sep 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
RED TIRE CAB LLC
Doing business as
Red Tire Taxi
Practice address
615 N Fairview St
Bloomington, IN 47404-3775
Phone
(812) 391-7344
NPI assigned
Sep 14, 2013
Last updated
Sep 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2013

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

Authorized official

Name
Mr. Hesham Genidy
Title
Owner
Phone
(812) 391-7344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X IN Primary

Addresses

Primary practice location

615 N Fairview St
Bloomington, IN 47404-3775

Mailing address

PO Box 5006
Bloomington, IN 47407-5006
Phone (812) 391-7344

Other identifiers 1

IdentifierTypeStateIssuer
201168410 AMedicaidIN

Other names 1

  • Red Tire Taxi Doing business as

National Provider Directory

National Provider Directory

Locations

615 N Fairview St
Bloomington, IN 47404
Phone (812) 391-7344

NPI Registry JSON

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1871929406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5006",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075006",
            "telephone_number": "812-391-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N FAIRVIEW ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043775",
            "telephone_number": "812-391-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED TIRE CAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "GENIDY",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-391-7344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201168410 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Tire Taxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.