Provider Demographics
NPI:1215634449
Name:M&A RIDE LLC
Entity type:Organization
Organization Name:M&A RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:ALAZAR
Authorized Official - Middle Name:DEBELA
Authorized Official - Last Name:NEMOMSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-234-9837
Mailing Address - Street 1:6352 N DUNKIRK CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2051
Mailing Address - Country:US
Mailing Address - Phone:720-234-9837
Mailing Address - Fax:
Practice Address - Street 1:102 S TEJON ST STE 1100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2253
Practice Address - Country:US
Practice Address - Phone:720-234-9837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)