Provider Demographics
NPI:1598234288
Name:ACCESS A RIDE, LLC
Entity Type:Organization
Organization Name:ACCESS A RIDE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADDIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:KEATON-HARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-610-5500
Mailing Address - Street 1:3535 SALEM AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-2645
Mailing Address - Country:US
Mailing Address - Phone:937-610-5500
Mailing Address - Fax:937-610-0330
Practice Address - Street 1:3535 SALEM AVE STE 300
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-2645
Practice Address - Country:US
Practice Address - Phone:937-610-5500
Practice Address - Fax:937-610-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)