Provider Demographics
NPI:1093513046
Name:RICEWAY SERVICES LLC
Entity type:Organization
Organization Name:RICEWAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNTRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR-TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-462-0655
Mailing Address - Street 1:8735 DUNWOODY PL STE 7446
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2995
Mailing Address - Country:US
Mailing Address - Phone:404-462-0655
Mailing Address - Fax:404-462-0655
Practice Address - Street 1:8735 DUNWOODY PL STE 7446
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:404-462-0655
Practice Address - Fax:404-462-0655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)