Provider Demographics
NPI:1164050738
Name:ACE RIDE SHARE
Entity Type:Organization
Organization Name:ACE RIDE SHARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JABRILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMAALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-221-8999
Mailing Address - Street 1:5725 E LANCASTER AVE # 209
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-6528
Mailing Address - Country:US
Mailing Address - Phone:817-851-1663
Mailing Address - Fax:
Practice Address - Street 1:5725 E LANCASTER AVE # 209
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-6528
Practice Address - Country:US
Practice Address - Phone:817-851-1663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)