Provider Demographics
NPI:1407629363
Name:ELDER RIDES & MORE LLC
Entity Type:Organization
Organization Name:ELDER RIDES & MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-414-8000
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-0515
Mailing Address - Country:US
Mailing Address - Phone:616-414-8000
Mailing Address - Fax:
Practice Address - Street 1:4949 14 MILE CT NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-9722
Practice Address - Country:US
Practice Address - Phone:616-414-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)