Provider Demographics
NPI:1639851603
Name:EXPEDIENT RIDES LLC
Entity type:Organization
Organization Name:EXPEDIENT RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:DAJUON
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:813-770-4286
Mailing Address - Street 1:10810 BOYETTE RD # 177
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8000
Mailing Address - Country:US
Mailing Address - Phone:813-391-8174
Mailing Address - Fax:
Practice Address - Street 1:7028 TIDEWATER TRL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-5953
Practice Address - Country:US
Practice Address - Phone:813-391-8174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)