Provider Demographics
NPI:1790549418
Name:ELITE HEALTH RIDE
Entity Type:Organization
Organization Name:ELITE HEALTH RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OCHUKO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-634-4040
Mailing Address - Street 1:12101 NORTHPOINTE BLVD APT 10304
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2259
Mailing Address - Country:US
Mailing Address - Phone:346-634-4040
Mailing Address - Fax:
Practice Address - Street 1:12101 NORTHPOINTE BLVD APT 10304
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2259
Practice Address - Country:US
Practice Address - Phone:346-634-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle