Provider Demographics
NPI:1346808516
Name:RIDE ASSIST OF MAUI, LLC
Entity Type:Organization
Organization Name:RIDE ASSIST OF MAUI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMINIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ULEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-269-3098
Mailing Address - Street 1:360 HILU PL
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1309
Mailing Address - Country:US
Mailing Address - Phone:808-205-0890
Mailing Address - Fax:808-873-9311
Practice Address - Street 1:360 HILU PL
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1309
Practice Address - Country:US
Practice Address - Phone:808-205-0890
Practice Address - Fax:808-873-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)