Provider Demographics
NPI:1619623949
Name:RB FAMILY LLC
Entity Type:Organization
Organization Name:RB FAMILY LLC
Other - Org Name:CITY RYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CITY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-609-5635
Mailing Address - Street 1:555 S B B KING BLVD UNIT 1420
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-1060
Mailing Address - Country:US
Mailing Address - Phone:662-576-1085
Mailing Address - Fax:
Practice Address - Street 1:8486 FRIEDEN TRL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3348
Practice Address - Country:US
Practice Address - Phone:901-860-1885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ072254Medicaid