Provider Demographics
NPI:1881456523
Name:GENTLE RIDES TRANSPORTATION INC
Entity type:Organization
Organization Name:GENTLE RIDES TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUCKY
Authorized Official - Middle Name:SALEEBAN
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-806-7724
Mailing Address - Street 1:2650 UNIVERSITY AVE W APT 419
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1928
Mailing Address - Country:US
Mailing Address - Phone:612-806-7724
Mailing Address - Fax:
Practice Address - Street 1:2650 UNIVERSITY AVE W APT 419
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1928
Practice Address - Country:US
Practice Address - Phone:612-806-7724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)