Healthcare Provider Details

I. General information

NPI: 1902590334
Provider Name (Legal Business Name): CARE RIDE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 09/09/2026
Certification Date: 08/02/2024
Deactivation Date: 08/07/2025
Reactivation Date: 09/09/2026

III. Provider practice location address

2929 CHICAGO AVE APT 240
MINNEAPOLIS MN
55407-4202
US

IV. Provider business mailing address

2929 CHICAGO AVE APT 240
MINNEAPOLIS MN
55407-4202
US

V. Phone/Fax

Practice location:
  • Phone: 612-297-0819
  • Fax:
Mailing address:
  • Phone: 612-297-0819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: ADURAHMAN AIDARUS MOHAMED
Title or Position: OWNER
Credential:
Phone: 612-297-0819