MEDICARE: CAREWAY 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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1356275242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREWAY RIDE LLC

Provider Business Mailing Address
First Line	:	1321 S WILLOW ST APT 106
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2188
Country	:	US
Telephone Number	:	720-309-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 S WILLOW ST APT 106
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2188
Country	:	US
Telephone Number	:	720-309-8800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUSSIE EYASU
Credential	:
Telephone Number	:	720-309-8800

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “CAREWAY RIDE LLC ” Practice Location

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