=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740141266
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIDEZAP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2025
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2154 COUNTY ROAD 79
-----------------------------------------------------
City | THOMASTON
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36783-3402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-509-9267
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2154 COUNTY ROAD 79
-----------------------------------------------------
City | THOMASTON
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36783-3402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-509-9267
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | MS. AGNESS SHARAE ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 334-509-9267
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 347C00000X
-----------------------------------------------------
Taxonomy Name | Private Vehicle
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------