Provider Demographics
NPI:1548817604
Name:CATCH A RIDE
Entity type:Organization
Organization Name:CATCH A RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-207-6771
Mailing Address - Street 1:2260 RODEO DR
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28356-9579
Mailing Address - Country:US
Mailing Address - Phone:646-207-6771
Mailing Address - Fax:
Practice Address - Street 1:2260 RODEO DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NC
Practice Address - Zip Code:28356-9579
Practice Address - Country:US
Practice Address - Phone:646-207-6771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)