Provider Demographics
NPI:1659825438
Name:HEALTH RIDE CORP
Entity Type:Organization
Organization Name:HEALTH RIDE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-992-9898
Mailing Address - Street 1:12406 N 32ND ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12406 N 32ND ST
Practice Address - Street 2:SUITE #110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7146
Practice Address - Country:US
Practice Address - Phone:602-867-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle