Organization Active NPI

Cedar Ridge Transportation LLC

Doing business as LifeLine Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Duncanville, TX
National Provider Identifier
1942077656
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CEDAR RIDGE TRANSPORTATION LLC
Doing business as
LifeLine Medical Transportation
Practice address
115 E Davis St Ste B
Duncanville, TX 75116-3642
Phone
(469) 236-1987
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

115 E Davis St Ste B
Duncanville, TX 75116-3642

Mailing address

115 E Davis St Ste B
Duncanville, TX 75116-3642
Phone (469) 236-1987

Other names 1

  • LifeLine Medical Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

115 E Davis St
Ste B
Duncanville, TX 75116
Phone (214) 550-1411

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1942077656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E DAVIS ST STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163642",
            "telephone_number": "469-236-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E DAVIS ST STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163642",
            "telephone_number": "469-236-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.