=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699642108
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WERIDE TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/20/2025
-----------------------------------------------------
Last Update Date | 10/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 190 SPRUCE ST
-----------------------------------------------------
City | MANCHESTER
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03103-5451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 857-971-1535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 190981
-----------------------------------------------------
City | ROXBURY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02119-0020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | ABDIRASHID MOHAMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 857-971-1535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------