Active NPI
Red Tire Cab LLC
Doing business as Red Tire Taxi
- Taxi
- Bloomington, IN
National Provider Identifier
1871929406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201168410 A | Medicaid | IN |
Other names 1
- Red Tire Taxi
National Provider Directory
National Provider DirectoryLocations
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.