MEDICARE: RIDE-A-BREEZE TRANSPORTATION

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	:	1821836206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDE-A-BREEZE TRANSPORTATION

Provider Business Mailing Address
First Line	:	2920 GLENDALE MILFORD RD STE 230
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-4840
Country	:	US
Telephone Number	:	513-787-9493
Fax Number	:	513-834-7305

Provider Business Practice Location Address
First Line	:	2920 GLENDALE MILFORD RD STE 230
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-4840
Country	:	US
Telephone Number	:	513-787-9493
Fax Number	:	513-834-7305

Authorized Official
Title or Position	:	OWNER
Name	:	MR. PATRICK MARFO
Credential	:
Telephone Number	:	513-787-9493

Provider Enumeration Date	:	07/18/2024
Last Update Date	:	07/18/2024

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Directions to “RIDE-A-BREEZE TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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