Provider Demographics
NPI:1306085576
Name:ACCESS RIDE LLC
Entity type:Organization
Organization Name:ACCESS RIDE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:K
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-269-2484
Mailing Address - Street 1:2223 W BALL RD # 233
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-5314
Mailing Address - Country:US
Mailing Address - Phone:714-527-3469
Mailing Address - Fax:714-484-1666
Practice Address - Street 1:6101 BALL RD STE 204
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3965
Practice Address - Country:US
Practice Address - Phone:714-527-3469
Practice Address - Fax:714-484-1666
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS RIDE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200615310075343900000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)