Provider Demographics
NPI:1699541359
Name:SECURE RIDE LLC
Entity type:Organization
Organization Name:SECURE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHE
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:913-271-9429
Mailing Address - Street 1:21615 W 45TH TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2402
Mailing Address - Country:US
Mailing Address - Phone:913-271-9429
Mailing Address - Fax:
Practice Address - Street 1:21615 W 45TH TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-2402
Practice Address - Country:US
Practice Address - Phone:913-271-9429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)