Provider Demographics
NPI:1457935769
Name:RISE N SHINE MOBILE TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:RISE N SHINE MOBILE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-317-5359
Mailing Address - Street 1:229 HAMILTON AVE APT E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1488
Mailing Address - Country:US
Mailing Address - Phone:614-317-5359
Mailing Address - Fax:
Practice Address - Street 1:229 HAMILTON AVE APT E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1488
Practice Address - Country:US
Practice Address - Phone:614-317-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)