Provider Demographics
NPI:1093218091
Name:RIDE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:RIDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:877-743-3203
Mailing Address - Street 1:18701 GRAND RIVER AVE STE 1023
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2214
Mailing Address - Country:US
Mailing Address - Phone:877-743-3203
Mailing Address - Fax:248-862-5335
Practice Address - Street 1:18701 GRAND RIVER AVE STE 1023
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48223-2214
Practice Address - Country:US
Practice Address - Phone:877-743-3203
Practice Address - Fax:248-862-5335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIM994158343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)