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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 343900000X |   | LA | N |   | Transportation Services | Non-emergency Medical Transport (VAN) |   | 343900000X | 005642616 | LA | Y |   | Transportation Services | Non-emergency Medical Transport (VAN) |   |
No ID Information.