Provider Demographics
NPI:1992313084
Name:HAPPY RIDES LLC
Entity type:Organization
Organization Name:HAPPY RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-961-6062
Mailing Address - Street 1:26577 N HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:CA
Mailing Address - Zip Code:95437-9586
Mailing Address - Country:US
Mailing Address - Phone:707-961-6062
Mailing Address - Fax:
Practice Address - Street 1:26577 N HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:CA
Practice Address - Zip Code:95437-9586
Practice Address - Country:US
Practice Address - Phone:707-961-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA202017410363OtherARTICLES OF ORGANIZATION