Healthcare Provider Details
I. General information
NPI: 1558150383
Provider Name (Legal Business Name): LYFT ME UP NON EMERGENT MEDICAL TRANSPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 S EAST ST STE 119
INDIANAPOLIS IN
46227-2077
US
IV. Provider business mailing address
4010 ROLAND RD
INDIANAPOLIS IN
46228-3233
US
V. Phone/Fax
- Phone: 317-340-5736
- Fax: 317-340-5736
- Phone: 317-340-5736
- Fax: 888-830-3772
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TYLER
ELIZABETH
CRIDER
Title or Position: OWNER/CEO
Credential: RN
Phone: 317-340-5736