Provider Demographics
NPI:1962178368
Name:RIDE SAFE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:RIDE SAFE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHAMISHA
Authorized Official - Middle Name:SHAUNTAE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-892-0002
Mailing Address - Street 1:2847 EARLY ST APT C
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-3826
Mailing Address - Country:US
Mailing Address - Phone:757-892-0002
Mailing Address - Fax:
Practice Address - Street 1:2847 EARLY ST APT C
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-3826
Practice Address - Country:US
Practice Address - Phone:757-892-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)