Provider Demographics
NPI:1881411700
Name:COMFORT RIDE TRANSPORT LLC
Entity type:Organization
Organization Name:COMFORT RIDE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAS
Authorized Official - Middle Name:NOR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-860-8279
Mailing Address - Street 1:3640 BRECKENRIDGE CT APT 1
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3602
Mailing Address - Country:US
Mailing Address - Phone:612-860-8279
Mailing Address - Fax:
Practice Address - Street 1:3640 BRECKENRIDGE CT APT 1
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53713-3602
Practice Address - Country:US
Practice Address - Phone:612-860-8279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty