Provider Demographics
NPI:1518717412
Name:TRUSTRYDE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRUSTRYDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:ASSAIR
Authorized Official - Last Name:SALAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-271-7524
Mailing Address - Street 1:2705 HERSCHEL ST N UNIT B323
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4496
Mailing Address - Country:US
Mailing Address - Phone:612-271-7524
Mailing Address - Fax:
Practice Address - Street 1:2705 HERSCHEL ST N UNIT B323
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4496
Practice Address - Country:US
Practice Address - Phone:612-271-7524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)