Provider Demographics
NPI:1962113175
Name:SMOOVE RIDE TRANSPORTATION
Entity type:Organization
Organization Name:SMOOVE RIDE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C EO
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:414-308-7570
Mailing Address - Street 1:3715 WEST CENER STREET
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-2630
Mailing Address - Country:US
Mailing Address - Phone:414-308-7570
Mailing Address - Fax:414-000-0000
Practice Address - Street 1:2723 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2630
Practice Address - Country:US
Practice Address - Phone:414-520-7893
Practice Address - Fax:414-445-7960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMOOVEFASHIONCORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company