Provider Demographics
NPI:1487167300
Name:ALLRIDES LLLP
Entity type:Organization
Organization Name:ALLRIDES LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-410-6500
Mailing Address - Street 1:4113 NAVIGATOR WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-1828
Mailing Address - Country:US
Mailing Address - Phone:218-404-8813
Mailing Address - Fax:
Practice Address - Street 1:314 9TH ST S
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-2836
Practice Address - Country:US
Practice Address - Phone:218-410-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN382676343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)