Provider Demographics
NPI:1073257564
Name:RELIABLE-RIDES MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:RELIABLE-RIDES MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TESFAGIORGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-409-4518
Mailing Address - Street 1:1887 WHITNEY MESA DR UNIT 6885
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2069
Mailing Address - Country:US
Mailing Address - Phone:702-409-4518
Mailing Address - Fax:
Practice Address - Street 1:1887 WHITNEY MESA DR UNIT 6885
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2069
Practice Address - Country:US
Practice Address - Phone:702-409-4518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)