Provider Demographics
NPI:1215613443
Name:EASYRIDE TRANSPORTATION LLC
Entity type:Organization
Organization Name:EASYRIDE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSANKAFI
Authorized Official - Middle Name:
Authorized Official - Last Name:NOOR
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:507-508-0079
Mailing Address - Street 1:403 N RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3400
Mailing Address - Country:US
Mailing Address - Phone:507-508-0079
Mailing Address - Fax:
Practice Address - Street 1:403 N RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3400
Practice Address - Country:US
Practice Address - Phone:507-508-0079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)