Healthcare Provider Details

I. General information

NPI: 1538099130
Provider Name (Legal Business Name): K&S RIDE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2248 ARGENTO CIR
DACULA GA
30019-2834
US

IV. Provider business mailing address

2248 ARGENTO CIR
DACULA GA
30019-2834
US

V. Phone/Fax

Practice location:
  • Phone: 908-265-4543
  • Fax:
Mailing address:
  • Phone: 908-265-4543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SERGE F ALEXIS
Title or Position: MANAGER
Credential:
Phone: 908-265-4543