Provider Demographics
NPI:1366013997
Name:ELITE RIDE NEMT LLC
Entity Type:Organization
Organization Name:ELITE RIDE NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHIANNA
Authorized Official - Middle Name:RACINE
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-371-1131
Mailing Address - Street 1:8205 MEADOWIND CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3606
Mailing Address - Country:US
Mailing Address - Phone:704-371-1131
Mailing Address - Fax:
Practice Address - Street 1:8205 MEADOWIND CIR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3606
Practice Address - Country:US
Practice Address - Phone:704-371-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)