Provider Demographics
NPI:1629314638
Name:SHARE RIDE TRANSPORTATION INC
Entity Type:Organization
Organization Name:SHARE RIDE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-457-7433
Mailing Address - Street 1:915 VALENCIA CT
Mailing Address - Street 2:117
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230
Mailing Address - Country:US
Mailing Address - Phone:410-457-7433
Mailing Address - Fax:800-773-4062
Practice Address - Street 1:915 VALENCIA CT
Practice Address - Street 2:117
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3968
Practice Address - Country:US
Practice Address - Phone:410-457-7433
Practice Address - Fax:800-773-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4597343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)