Provider Demographics
NPI:1598395386
Name:RIDE CALI LLC
Entity Type:Organization
Organization Name:RIDE CALI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:HERSCHEL
Authorized Official - Last Name:DEVORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-338-3471
Mailing Address - Street 1:PRO BOX 2160
Mailing Address - Street 2:817 WEST SHERWOOD BLVD
Mailing Address - City:BIG BEAR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92314
Mailing Address - Country:US
Mailing Address - Phone:900-338-3471
Mailing Address - Fax:
Practice Address - Street 1:817 W SHERWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314-9362
Practice Address - Country:US
Practice Address - Phone:909-338-3471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)