Smart Ride Enterprise LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SMART RIDE ENTERPRISE LLC

Practice address

3804 10TH St
East Moline, IL 61244-4519

Phone

(857) 654-3979

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Butoyi Peres

Title

Co/Owner/Manager

Phone

(857) 654-3979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1912667932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 10TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 10TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444519",
            "telephone_number": "857-654-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART RIDE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "PERES",
        "authorized_official_first_name": "BUTOYI",
        "authorized_official_title_or_position": "CO/OWNER/MANAGER",
        "authorized_official_telephone_number": "857-654-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Sears
• Katelyn Sellers, RBT
• Fatima Zehra Shah, RPH
• Nancy J Short, MD
• Kelly Sikardi, LMSW
• Meghan Smith, MS
• Robert G. Smith, D.C.
• Terry Glen Smith, D.C.
• Torri S Smith, LPC
• Kristin Nicole Sparbel, M.S., CCC-SLP

• Non-emergency Medical Transport (VAN) in East Moline, IL
• Providers in East Moline, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.