1336764844 NPI number — RIDER MOBILITY INC.

Table of content: (NPI 1336764844)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336764844 NPI number — RIDER MOBILITY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIDER MOBILITY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336764844
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3985 W CHEYENNE AVE STE 306
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89032-8907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-272-0230
Provider Business Mailing Address Fax Number:
702-272-0289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9800 N 91ST AVE STE 116
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85345-8374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-500-5668
Provider Business Practice Location Address Fax Number:
623-500-5669
Provider Enumeration Date:
06/10/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WENDER
Authorized Official First Name:
KIRSTEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
702-272-0230

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)