Provider Demographics
NPI:1932617230
Name:RIDES TAXI SERVICE LLC
Entity type:Organization
Organization Name:RIDES TAXI SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LATHROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-931-8400
Mailing Address - Street 1:10 CEDARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8948
Mailing Address - Country:US
Mailing Address - Phone:386-931-8400
Mailing Address - Fax:386-597-2055
Practice Address - Street 1:10 CEDARVIEW CT
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8948
Practice Address - Country:US
Practice Address - Phone:386-931-8400
Practice Address - Fax:386-597-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-21
Last Update Date:2018-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)