Provider Demographics
NPI:1245003052
Name:RIDE CARE EXPRESS LLC
Entity type:Organization
Organization Name:RIDE CARE EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:LITONJUA
Authorized Official - Last Name:SENERIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-685-3777
Mailing Address - Street 1:14929 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1837
Mailing Address - Country:US
Mailing Address - Phone:562-685-3777
Mailing Address - Fax:
Practice Address - Street 1:1140 W ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-2664
Practice Address - Country:US
Practice Address - Phone:310-323-3194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)