Provider Demographics
NPI:1467210161
Name:RIDER MOBILITY INC.
Entity Type:Organization
Organization Name:RIDER MOBILITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WENDER
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:702-272-0230
Mailing Address - Street 1:3985 W CHEYENNE AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-8907
Mailing Address - Country:US
Mailing Address - Phone:702-272-0230
Mailing Address - Fax:702-272-0289
Practice Address - Street 1:7270 GILPIN WAY STE 260
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80229-6567
Practice Address - Country:US
Practice Address - Phone:702-272-0230
Practice Address - Fax:866-836-8782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIDER MOBILITY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment