Healthcare Provider Details

I. General information

NPI: 1447096797
Provider Name (Legal Business Name): RIDE AND ASSIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 PAVILION PKWY APT 4314
TRACY CA
95304-9585
US

IV. Provider business mailing address

2725 PAVILION PKWY APT 4314
TRACY CA
95304-9585
US

V. Phone/Fax

Practice location:
  • Phone: 209-659-3706
  • Fax:
Mailing address:
  • Phone: 209-659-3706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ALFONSO HAYDEN
Title or Position: OPERATION OFFICIAL
Credential:
Phone: 209-659-3706