MEDICARE: JOY RIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1215747480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY RIDE LLC

Provider Business Mailing Address
First Line	:	6517 REAMER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6809
Country	:	US
Telephone Number	:	346-932-2821
Fax Number	:

Provider Business Practice Location Address
First Line	:	6517 REAMER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-6809
Country	:	US
Telephone Number	:	346-932-2821
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHANAEL ADMAS KASSA
Credential	:
Telephone Number	:	346-932-2821

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	05/14/2025

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Directions to “JOY RIDE LLC ” Practice Location

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