Provider Demographics
NPI:1033453477
Name:GLADKO RIDE TRANSPORTATION
Entity Type:Organization
Organization Name:GLADKO RIDE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSADANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-419-7827
Mailing Address - Street 1:2060 PHENIX AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2060 PHENIX AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1211
Practice Address - Country:US
Practice Address - Phone:401-419-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI9913363343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)