Provider Demographics
NPI:1851850473
Name:RAM'S ROOF
Entity Type:Organization
Organization Name:RAM'S ROOF
Other - Org Name:RAM;S ROOF NEMT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRISEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-559-3034
Mailing Address - Street 1:12861 MEDITERRANEAN DR
Mailing Address - Street 2:
Mailing Address - City:ETIWANDA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-8954
Mailing Address - Country:US
Mailing Address - Phone:909-559-3034
Mailing Address - Fax:
Practice Address - Street 1:12861 MEDITERRANEAN DR
Practice Address - Street 2:
Practice Address - City:ETIWANDA
Practice Address - State:CA
Practice Address - Zip Code:91739-8954
Practice Address - Country:US
Practice Address - Phone:909-559-3034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle