Provider Demographics
NPI:1477369056
Name:DYT NEWHOPE MEDICAL RIDES LLC
Entity type:Organization
Organization Name:DYT NEWHOPE MEDICAL RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUBA
Authorized Official - Middle Name:JALDESA
Authorized Official - Last Name:DADACHA
Authorized Official - Suffix:VII
Authorized Official - Credentials:
Authorized Official - Phone:614-962-4212
Mailing Address - Street 1:154 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-2238
Mailing Address - Country:US
Mailing Address - Phone:614-601-7137
Mailing Address - Fax:
Practice Address - Street 1:154 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-2238
Practice Address - Country:US
Practice Address - Phone:614-601-7137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)