Healthcare Provider Details

I. General information

NPI: 1134861453
Provider Name (Legal Business Name): RIDE WITH US TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 HUFFMAN MILL RD APT G2
BURLINGTON NC
27215-5132
US

IV. Provider business mailing address

706 HUFFMAN MILL RD APT G2
BURLINGTON NC
27215-5132
US

V. Phone/Fax

Practice location:
  • Phone: 716-289-5565
  • Fax:
Mailing address:
  • Phone: 716-289-5565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: KASAKEON G HARRIS
Title or Position: OWNER
Credential:
Phone: 716-289-5565