Provider Demographics
NPI:1508404070
Name:NASHVILLE RIDE LLC
Entity Type:Organization
Organization Name:NASHVILLE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FENOT
Authorized Official - Middle Name:
Authorized Official - Last Name:ASGEDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-569-4641
Mailing Address - Street 1:527 31ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4008
Mailing Address - Country:US
Mailing Address - Phone:615-569-4641
Mailing Address - Fax:615-569-4641
Practice Address - Street 1:527 31ST AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4008
Practice Address - Country:US
Practice Address - Phone:615-569-4641
Practice Address - Fax:615-569-4641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)