Provider Demographics
NPI:1174021356
Name:RIDE2CARE
Entity Type:Organization
Organization Name:RIDE2CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-888-1570
Mailing Address - Street 1:4632 BUCKPASSER AVE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2184
Mailing Address - Country:US
Mailing Address - Phone:267-888-1570
Mailing Address - Fax:
Practice Address - Street 1:4632 BUCKPASSER AVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2184
Practice Address - Country:US
Practice Address - Phone:267-888-1570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN82-411008OtherEIN #