MEDICARE: RIDE2LIFE TRANSIT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1215821095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDE2LIFE TRANSIT LLC

Provider Business Mailing Address
First Line	:	3810 DREXEL DR APT 349
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6869
Country	:	US
Telephone Number	:	832-542-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 DREXEL DR APT 349
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6869
Country	:	US
Telephone Number	:	832-542-1234
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NELSON EKE
Credential	:
Telephone Number	:	832-542-1234

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	06/05/2025

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Directions to “RIDE2LIFE TRANSIT LLC ” Practice Location

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