Healthcare Provider Details

I. General information

NPI: 1356275242
Provider Name (Legal Business Name): CAREWAY RIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S WILLOW ST APT 106
DENVER CO
80247-2188
US

IV. Provider business mailing address

1321 S WILLOW ST APT 106
DENVER CO
80247-2188
US

V. Phone/Fax

Practice location:
  • Phone: 720-309-8800
  • Fax:
Mailing address:
  • Phone: 720-309-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MUSSIE EYASU
Title or Position: OWNER
Credential:
Phone: 720-309-8800