EXECUTIVE RIDE TRANSPORT, INC. (NPI# 1104299619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104299619 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE RIDE TRANSPORT, INC. |
| Practice Address |
12345 Crooked Creek Ln Fort Myers FL 33913-6726 |
| Mailing Address |
101 Ne 41st St Apt B32 Oakland Park FL 33334-1338 |
| Practice Telephone | 9542267948 |
| Practice Fax Number | 9543571004 |
| Mailing Telephone | 9542267948 |
| Mailing Fax Number | 9543571004 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | CHRISTINA ANGELA EDWRDS (PRESIDENT) |
| Authorized Official Telephone | 9542267948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
12345 CROOKED CREEK LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856606 | Fc Pro Services | Non-emergency Medical Transport (VAN) | 8148 Gull Ln, Fort Myers, FL 33967-3407 | 2020-09-21 |
| 1457983017 | Katherine Valdivia | Non-emergency Medical Transport (VAN) | 7620 Omni Ln Apt 203, Fort Myers, FL 33905-5432 | 2020-02-11 |
| 1215578018 | Es Meditransport Corp | Non-emergency Medical Transport (VAN) | 13814 5th St, Fort Myers, FL 33905-2119 | 2019-10-02 |
| 1386100162 | Starpluscare, Inc | Non-emergency Medical Transport (VAN) | 5342 Hawks Landing Dr Apt 205, Fort Myers, FL 33907-6664 | 2019-02-16 |
| 1073002069 | Bluebird Mobility | Non-emergency Medical Transport (VAN) | 3252 Palm Ave, Fort Myers, FL 33901-7428 | 2018-05-04 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1962902379 | Good Wheels, Inc. | Non-emergency Medical Transport (VAN) | 10075 Bavaria Rd, Fort Myers, FL 33913-8515 | 2018-02-13 |
| 1982150421 | Martin G Ndungu | Non-emergency Medical Transport (VAN) | 3049 Cleveland Ave Ste 253, Fort Myers, FL 33901-7047 | 2016-08-25 |
| 1003181660 | Caring Angels Transport Services | Non-emergency Medical Transport (VAN) | 6400 Aragon Way, Apt 303, Fort Myers, FL 33966-4768 | 2012-03-15 |
| 1023641503 | M&m Medical Transportation.inc | Non-emergency Medical Transport (VAN) | 3903 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4805 | 2020-02-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on EXECUTIVE RIDE TRANSPORT, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.