Provider Demographics
NPI:1407634165
Name:ACROSS ROAD RIDE LLC
Entity type:Organization
Organization Name:ACROSS ROAD RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TURAL
Authorized Official - Middle Name:VAHID
Authorized Official - Last Name:ABBASOV
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:434-818-3090
Mailing Address - Street 1:103 MILLBROOK TER
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1015
Mailing Address - Country:US
Mailing Address - Phone:434-818-3090
Mailing Address - Fax:
Practice Address - Street 1:846 HINTON BYP
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-9195
Practice Address - Country:US
Practice Address - Phone:434-818-3090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)