Provider Demographics
NPI:1730953795
Name:MOBILITY MATTERS CARE RIDE LLC
Entity type:Organization
Organization Name:MOBILITY MATTERS CARE RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GAYLORD
Authorized Official - Middle Name:
Authorized Official - Last Name:VILORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-277-7598
Mailing Address - Street 1:95-024 WAIHAU ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3360
Mailing Address - Country:US
Mailing Address - Phone:808-277-7598
Mailing Address - Fax:
Practice Address - Street 1:95-024 WAIHAU ST APT 4A
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3360
Practice Address - Country:US
Practice Address - Phone:808-277-7598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus