Provider Demographics
NPI:1720815756
Name:SARAH KARE RIDE LLC
Entity type:Organization
Organization Name:SARAH KARE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENR
Authorized Official - Prefix:
Authorized Official - First Name:TEWODROS
Authorized Official - Middle Name:GOSSAYE
Authorized Official - Last Name:DAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-390-9523
Mailing Address - Street 1:9874 GOLF CREST DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-8361
Mailing Address - Country:US
Mailing Address - Phone:720-390-9523
Mailing Address - Fax:
Practice Address - Street 1:9874 GOLF CREST DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-8361
Practice Address - Country:US
Practice Address - Phone:720-390-9523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)