Provider Demographics
NPI:1851155824
Name:ANGEL RIDE LLC
Entity Type:Organization
Organization Name:ANGEL RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAJI
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPOTION
Authorized Official - Phone:612-598-7666
Mailing Address - Street 1:5716 OAK VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-4695
Mailing Address - Country:US
Mailing Address - Phone:612-598-7666
Mailing Address - Fax:
Practice Address - Street 1:5716 OAK VIEW CT
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-4695
Practice Address - Country:US
Practice Address - Phone:612-598-7666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)