Healthcare Provider Details

I. General information

NPI: 1083587976
Provider Name (Legal Business Name): RIDE4HEALTH ABE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WYNNWOOD LN E
EASTON PA
18040-8414
US

IV. Provider business mailing address

102 WYNNWOOD LN E
EASTON PA
18040-8414
US

V. Phone/Fax

Practice location:
  • Phone: 484-548-2720
  • Fax:
Mailing address:
  • Phone: 484-548-2720
  • 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: JAMES CHARLES SMITH JR.
Title or Position: COO
Credential: EMT-P
Phone: 814-934-2100