Provider Demographics
NPI:1477040731
Name:SAFE RIDE LLC
Entity Type:Organization
Organization Name:SAFE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MURODJON
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMOILOV
Authorized Official - Suffix:
Authorized Official - Credentials:CO FOUNDER
Authorized Official - Phone:347-652-5555
Mailing Address - Street 1:1156 LUSTER LN
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-6625
Mailing Address - Country:US
Mailing Address - Phone:515-205-5559
Mailing Address - Fax:
Practice Address - Street 1:4200 GRAND AVE APT C12
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-2463
Practice Address - Country:US
Practice Address - Phone:347-652-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA489DLC-561580347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle