Provider Demographics
NPI:1417511403
Name:A RIDE2CARE LLC
Entity Type:Organization
Organization Name:A RIDE2CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:O
Authorized Official - Last Name:HOLLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-233-7560
Mailing Address - Street 1:1391 NW SAINT LUCIE WEST BLVD STE 371
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2196
Mailing Address - Country:US
Mailing Address - Phone:863-233-7560
Mailing Address - Fax:772-777-4203
Practice Address - Street 1:1680 SW BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-3500
Practice Address - Country:US
Practice Address - Phone:863-233-7560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)