Provider Demographics
NPI:1619628161
Name:JOYRIDE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:JOYRIDE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-353-4734
Mailing Address - Street 1:81 OXFORD ST N
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1760
Mailing Address - Country:US
Mailing Address - Phone:508-962-1062
Mailing Address - Fax:
Practice Address - Street 1:81 OXFORD ST N
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1760
Practice Address - Country:US
Practice Address - Phone:508-962-1062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)