Provider Demographics
NPI:1457018236
Name:EZRIDE LLC
Entity Type:Organization
Organization Name:EZRIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:ALAA
Authorized Official - Last Name:ALSHAMMARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-270-1873
Mailing Address - Street 1:490 WESTFIELD RD STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1633
Mailing Address - Country:US
Mailing Address - Phone:434-400-9614
Mailing Address - Fax:
Practice Address - Street 1:490 WESTFIELD RD STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1633
Practice Address - Country:US
Practice Address - Phone:434-400-9614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)