Provider Demographics
NPI:1568167096
Name:REAL RIDE LLC
Entity Type:Organization
Organization Name:REAL RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:GEBREZGHI
Authorized Official - Last Name:GEBRIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-869-1149
Mailing Address - Street 1:10050 E HARVARD AVE APT C32
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3923
Mailing Address - Country:US
Mailing Address - Phone:720-886-1142
Mailing Address - Fax:303-667-7198
Practice Address - Street 1:10050 E HARVARD AVE APT C32
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3923
Practice Address - Country:US
Practice Address - Phone:720-886-1142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NON EMERGENCY MEDICAL TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)