Healthcare Provider Details

I. General information

NPI: 1720662497
Provider Name (Legal Business Name): TRUSTED RIDES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 TAHOE DR SE
GRAND RAPIDS MI
49546-7188
US

IV. Provider business mailing address

5960 TAHOE DR SE
GRAND RAPIDS MI
49546-7188
US

V. Phone/Fax

Practice location:
  • Phone: 888-597-1659
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS GOTT
Title or Position: CEO/FOUNDER
Credential:
Phone: 616-490-7468