Provider Demographics
NPI:1891464376
Name:RIDE PLUS LLC
Entity Type:Organization
Organization Name:RIDE PLUS LLC
Other - Org Name:RIDE PLUS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:MALA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKELE
Authorized Official - Suffix:
Authorized Official - Credentials:NON MEDICAL TRANSPOR
Authorized Official - Phone:615-481-1658
Mailing Address - Street 1:1452 PRIESTSHORE BAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2445
Mailing Address - Country:US
Mailing Address - Phone:615-481-1658
Mailing Address - Fax:
Practice Address - Street 1:1452 PRIESTSHORE BAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2445
Practice Address - Country:US
Practice Address - Phone:615-481-1658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)