Healthcare Provider Details

I. General information

NPI: 1982422150
Provider Name (Legal Business Name): 24 BESTRIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 SCHWARTZE AVE APT 3
CINCINNATI OH
45211-6434
US

IV. Provider business mailing address

3604 SCHWARTZE AVE APT 3
CINCINNATI OH
45211-6434
US

V. Phone/Fax

Practice location:
  • Phone: 513-658-2607
  • Fax:
Mailing address:
  • Phone: 513-658-2607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: BAHTA Y FISAHA
Title or Position: OWNER/MANAGER
Credential:
Phone: 513-658-2607