Provider Demographics
NPI:1093593667
Name:CARE RIDE 909 LLC
Entity Type:Organization
Organization Name:CARE RIDE 909 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:OMARBASHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-418-7200
Mailing Address - Street 1:818 N MOUNTAIN AVE # 203F
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4167
Mailing Address - Country:US
Mailing Address - Phone:909-418-7200
Mailing Address - Fax:
Practice Address - Street 1:818 N MOUNTAIN AVE # 203F
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4167
Practice Address - Country:US
Practice Address - Phone:909-418-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)