Provider Demographics
NPI:1528581816
Name:NOAH CARE RIDE LLC
Entity Type:Organization
Organization Name:NOAH CARE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BOGALE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:240-595-9846
Mailing Address - Street 1:3801 E FLORIDA AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2543
Mailing Address - Country:US
Mailing Address - Phone:240-595-9846
Mailing Address - Fax:
Practice Address - Street 1:3801 E FLORIDA AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:240-595-9846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0045343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0045OtherPUBLIC UTILITIES COMMISSION