Provider Demographics
NPI:1750523270
Name:RIDE CARE TRANSPORTATION, INC.
Entity type:Organization
Organization Name:RIDE CARE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NOUMOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNAOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-452-9024
Mailing Address - Street 1:4903 E. KINGS CANYON ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-8200
Mailing Address - Country:US
Mailing Address - Phone:559-452-9024
Mailing Address - Fax:559-452-0995
Practice Address - Street 1:4903 E. KINGS CANYON ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-8200
Practice Address - Country:US
Practice Address - Phone:559-320-7661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3764139Medicare PIN