Healthcare Provider Details

I. General information

NPI: 1235560616
Provider Name (Legal Business Name): RIDE AID INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S TELEGRAPH RD SUITE 105
BLOOMFIELD HILLS MI
48302-0950
US

IV. Provider business mailing address

PO BOX 7133
BLOOMFIELD HILLS MI
48302-7133
US

V. Phone/Fax

Practice location:
  • Phone: 248-858-7433
  • Fax: 248-858-4300
Mailing address:
  • Phone: 248-858-7433
  • Fax: 248-858-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberL10054
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberL10054
License Number StateMI

VIII. Authorized Official

Name: MR. ART ALAN DANOU
Title or Position: PRESIDENT
Credential:
Phone: 248-755-2000