Provider Demographics
NPI:1588855936
Name:RIDE-AIDE MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:RIDE-AIDE MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-949-8293
Mailing Address - Street 1:6801 ELVORA WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-5910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-685-3778
Practice Address - Street 1:6801 ELVORA WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-5910
Practice Address - Country:US
Practice Address - Phone:916-949-8293
Practice Address - Fax:866-685-3778
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELS HEALTHCARE MANAGEMENT SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-08
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0900006412343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)