MEDICARE: CHOSEN RIDE TRANSPORTATION 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)

General Provider Information

NPI Number	:	1740139278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOSEN RIDE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	13000 S TRYON ST STE F
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-7489
Country	:	US
Telephone Number	:	803-879-3834
Fax Number	:

Provider Business Practice Location Address
First Line	:	5028 WINDING JORDAN LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-4655
Country	:	US
Telephone Number	:	803-879-3834
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SEQUIA RAY
Credential	:
Telephone Number	:	803-879-3834

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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