MEDICARE: TOP 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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1487340683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP RIDE LLC

Provider Business Mailing Address
First Line	:	9002 SOLARA BEND CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5093
Country	:	US
Telephone Number	:	832-417-8620
Fax Number	:

Provider Business Practice Location Address
First Line	:	9002 SOLARA BEND CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-5093
Country	:	US
Telephone Number	:	832-417-8620
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KHALID AL KHALIDI
Credential	:
Telephone Number	:	832-417-8620

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	04/12/2023

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Directions to “TOP RIDE LLC ” Practice Location

Language	Start Address	Practice Location

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