MEDICARE: GO RIDES LIMITED LIABILITY COMPANY

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	:	1972399483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO RIDES LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	231 S. BEMISTON
Second Line	:	STE 850 #535163
City	:	CLAYTON
State	:	MO
Zip	:	63105
Country	:	US
Telephone Number	:	314-422-9657
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 S BEMISTON AVE
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-1988
Country	:	US
Telephone Number	:	314-422-9657
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. GEOFF WHITTINGTON
Credential	:
Telephone Number	:	314-580-8119

Provider Enumeration Date	:	04/19/2025
Last Update Date	:	04/19/2025

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