Basic Information
Provider Information
NPI: 1104323708
EntityType: 2
ReplacementNPI:  
OrganizationName: RIDE WITH KARE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 MAIN ST
Address2:  
City: MINDEN
State: LA
PostalCode: 710553363
CountryCode: US
TelephoneNumber: 3186399543
FaxNumber: 6186399544
Practice Location
Address1: 215 MAIN ST
Address2:  
City: MINDEN
State: LA
PostalCode: 71055
CountryCode: US
TelephoneNumber: 3186399543
FaxNumber: 3318699544
Other Information
ProviderEnumerationDate: 04/10/2018
LastUpdateDate: 06/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CAESAR
AuthorizedOfficialFirstName: KAY
AuthorizedOfficialMiddleName: D
AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 3184651937
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
343900000X LAN Transportation ServicesNon-emergency Medical Transport (VAN) 
343900000X005642616LAY Transportation ServicesNon-emergency Medical Transport (VAN) 

No ID Information.


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