Provider Demographics
NPI:1891542494
Name:MEDIRIDE TRANSIT LLC
Entity type:Organization
Organization Name:MEDIRIDE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-234-3731
Mailing Address - Street 1:6041 MOUNES ST APT K115
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70123-6000
Mailing Address - Country:US
Mailing Address - Phone:504-234-3731
Mailing Address - Fax:
Practice Address - Street 1:2400 VETERANS MEMORIAL BLVD STE 490
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-4725
Practice Address - Country:US
Practice Address - Phone:504-234-3731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)