Provider Demographics
NPI:1063266930
Name:JOYRIDE LLC
Entity type:Organization
Organization Name:JOYRIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAVON
Authorized Official - Middle Name:NEKEYA
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-514-4814
Mailing Address - Street 1:521 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-2903
Mailing Address - Country:US
Mailing Address - Phone:513-514-4814
Mailing Address - Fax:
Practice Address - Street 1:521 HICKORY ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2903
Practice Address - Country:US
Practice Address - Phone:513-514-4814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)