Healthcare Provider Details

I. General information

NPI: 1962101220
Provider Name (Legal Business Name): TIMELY LRIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 OLD CEDAR AVE S STE 121
BLOOMINGTON MN
55425-1214
US

IV. Provider business mailing address

8030 OLD CEDAR AVE S STE 121
BLOOMINGTON MN
55425-1214
US

V. Phone/Fax

Practice location:
  • Phone: 612-283-4423
  • Fax:
Mailing address:
  • Phone:
  • 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: MOHAMED ALI MOHAMED
Title or Position: OWNER
Credential:
Phone: 612-804-7865