Provider Demographics
NPI:1053688150
Name:CARE RIDE SERVICE, LLC
Entity Type:Organization
Organization Name:CARE RIDE SERVICE, LLC
Other - Org Name:CARE RIDE SERVICE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-947-9765
Mailing Address - Street 1:PO BOX 91162
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99509-1162
Mailing Address - Country:US
Mailing Address - Phone:907-947-9765
Mailing Address - Fax:
Practice Address - Street 1:555 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2501
Practice Address - Country:US
Practice Address - Phone:907-947-9765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE RIDE SERVICE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK950459343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)