MEDICARE: MOBILITY RIDES 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	:	1285434647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILITY RIDES LLC

Provider Business Mailing Address
First Line	:	2403 NABBLE LN
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-0992
Country	:	US
Telephone Number	:	941-716-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 NABBLE LN
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-0992
Country	:	US
Telephone Number	:	941-716-3100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW SPARKS
Credential	:
Telephone Number	:	941-716-3100

Provider Enumeration Date	:	03/15/2025
Last Update Date	:	03/15/2025

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Directions to “MOBILITY RIDES LLC ” Practice Location

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