Provider Demographics
NPI:1649799743
Name:SMOOTH RIDE TRANSPORTATION INC.
Entity type:Organization
Organization Name:SMOOTH RIDE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:KEMEMBIN
Authorized Official - Last Name:KUNJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-840-0851
Mailing Address - Street 1:8 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3423
Mailing Address - Country:US
Mailing Address - Phone:978-840-0851
Mailing Address - Fax:978-751-8394
Practice Address - Street 1:8 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3423
Practice Address - Country:US
Practice Address - Phone:978-840-0851
Practice Address - Fax:978-751-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)