Provider Demographics
NPI:1205393519
Name:FAMILY RIDE TRANSPORTATION
Entity Type:Organization
Organization Name:FAMILY RIDE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARDOWSO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-206-7067
Mailing Address - Street 1:6161 BUSCH BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2551
Mailing Address - Country:US
Mailing Address - Phone:740-803-8154
Mailing Address - Fax:
Practice Address - Street 1:6161 BUSCH BLVD STE 106
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2551
Practice Address - Country:US
Practice Address - Phone:740-803-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH253015OtherSTATE BOARD OF EMERGENCY MEDICAL, FIRE AND TRANSPORTATION SERVICES