Provider Demographics
NPI:1235596784
Name:ANGEL RIDES INC
Entity Type:Organization
Organization Name:ANGEL RIDES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-373-5540
Mailing Address - Street 1:607 EMANCIPATION HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4436
Mailing Address - Country:US
Mailing Address - Phone:540-373-5540
Mailing Address - Fax:540-709-7460
Practice Address - Street 1:607 EMANCIPATION HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4436
Practice Address - Country:US
Practice Address - Phone:540-373-5540
Practice Address - Fax:540-709-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)