Provider Demographics
NPI:1760617674
Name:RIDE WITH CARE TRANSPORT,LLC
Entity Type:Organization
Organization Name:RIDE WITH CARE TRANSPORT,LLC
Other - Org Name:RIDE WITH CARE TRANSPORT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BEVERLY LOIDA
Authorized Official - Middle Name:LEDESMA
Authorized Official - Last Name:DEGRACIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:408-776-8082
Mailing Address - Street 1:1295 E DUNNE AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7083
Mailing Address - Country:US
Mailing Address - Phone:408-776-8082
Mailing Address - Fax:
Practice Address - Street 1:1295 E DUNNE AVE STE 235
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-7083
Practice Address - Country:US
Practice Address - Phone:408-776-8082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)