Provider Demographics
NPI:1427832450
Name:FAMILY RIDE TRANSPORTATION LLP
Entity type:Organization
Organization Name:FAMILY RIDE TRANSPORTATION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEMENAYEHU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEWDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-682-5295
Mailing Address - Street 1:10227 CORNITH WAY
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6825
Mailing Address - Country:US
Mailing Address - Phone:443-682-5295
Mailing Address - Fax:
Practice Address - Street 1:10227 CORNITH WAY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6825
Practice Address - Country:US
Practice Address - Phone:443-682-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)