MEDICARE: FLOWERS RIDE 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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699546739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWERS RIDE LLC

Provider Business Mailing Address
First Line	:	6356 E MISSISSIPPI AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6356 E MISSISSIPPI AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-1454
Country	:	US
Telephone Number	:	720-400-4417
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	NADIR MUSA
Credential	:
Telephone Number	:	720-400-4417

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	01/09/2024

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Directions to “FLOWERS RIDE LLC ” Practice Location

Language	Start Address	Practice Location

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