Provider Demographics
NPI:1336517069
Name:SMART RIDE, LLC
Entity Type:Organization
Organization Name:SMART RIDE, LLC
Other - Org Name:YOUR SMART RIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATHEWOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-275-3595
Mailing Address - Street 1:1071 S JOPLIN WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3011
Mailing Address - Country:US
Mailing Address - Phone:720-275-3595
Mailing Address - Fax:
Practice Address - Street 1:1071 S JOPLIN WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3011
Practice Address - Country:US
Practice Address - Phone:720-275-3595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00-251-0551343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)