Active NPI
Riverside Line Express LLC
- Non-emergency Medical Transport (VAN)
- Cedar Rapids, IA
National Provider Identifier
1932759446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- RIVERSIDE LINE EXPRESS LLC
- Practice address
- 115 30TH Street Dr SE
Cedar Rapids, IA 52403-1402 - Phone
- (716) 602-8497
- NPI assigned
- Sep 17, 2019
- 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
- Mugisha F Sahini
- Title
- President
- Phone
- (716) 602-8497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
115 30TH Street Dr SE
Cedar Rapids, IA 52403-1402
Mailing address
115 30TH Street Dr SE
Cedar Rapids, IA 52403-1402
Phone (716) 602-8497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532730579 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
115 30th Street Dr SE
Cedar Rapids, IA 52403
Phone (716) 602-8497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568678400000",
"number": "1932759446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 30TH STREET DR SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524031402",
"telephone_number": "716-602-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 30TH STREET DR SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524031402",
"telephone_number": "716-602-8497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE LINE EXPRESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A",
"authorized_official_last_name": "SAHINI",
"authorized_official_first_name": "MUGISHA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-602-8497"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "532730579",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.