Provider Demographics
NPI:1093493751
Name:B&A CARE RIDE LLC
Entity Type:Organization
Organization Name:B&A CARE RIDE LLC
Other - Org Name:B&A CARE RIDE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GOWDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-899-6795
Mailing Address - Street 1:316 DOVE FIELD CT SE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9619
Mailing Address - Country:US
Mailing Address - Phone:910-899-6795
Mailing Address - Fax:
Practice Address - Street 1:316 DOVE FIELD CT SE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-9619
Practice Address - Country:US
Practice Address - Phone:910-899-6962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)