LIBERTY RIDE LLC


Address: 65 Lake Ave, Apt. 831, Worcester, MA 01604-1199
Phone: 9785143930

LIBERTY RIDE LLC (NPI# 1679990329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679990329
Entity Type Organization
Organization Name LIBERTY RIDE LLC
Practice Address 65 Lake Ave
Apt. 831
Worcester
MA 01604-1199
Mailing Address 529 Main St # 1m5
Charlestown
MA 02129-1125
Practice Telephone 9785143930
Mailing Telephone 9785143930
Enumeration Date 2014-03-19
Last Update Date 2014-06-04
Authorized Official Name MARLO RITA TERSIGNI (MANAGING MEMBER)
Authorized Official Telephone 9785143930
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343900000X Non-emergency Medical Transport (VAN) S86649214 MA Transportation Services

Office Location

Street Address 65 LAKE AVE
APT. 831
City WORCESTER
State MA
Zip Code 01604-1199

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1013412915 Michelle Marie Gaudet Behavioral Analyst 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 2018-03-24
1104336593 Younghwa Kim Counselor 2 Granite Street, Worcester, MA 01604 2017-10-11
1134640857 Desiree Oquendo Developmental Therapist 43 Dillon Street, Worcester, MA 01604 2017-07-03
1457803686 Reliable Home Care Services Foster Care Agency 35a Houghton Strret, Worcester, MA 01604 2016-11-04
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1144696519 Christian Caban I Developmental Therapist 25 Orient St, Worcester, MA 01604 2015-08-19
1750770160 Ayanna Ortiz Developmental Therapist 16 Bangor St, Worcester, MA 01604 2015-01-22
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Taxonomy Information

Taxonomy Code 343900000X
Grouping Transportation Services
Classification Non-emergency Medical Transport (VAN)

Taxonomy Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609490317 Betterplace Betterlife Transportation & Home Care LLC Non-emergency Medical Transport (VAN) 660 Franklin St, Worcester, MA 01604-1801 2020-05-29
1851932461 United Transportation Group, Inc. Non-emergency Medical Transport (VAN) 90 Madison St Ste 605, Worcester, MA 01608-2030 2019-10-04
1679121230 Eagle Spirit Transportation Non-emergency Medical Transport (VAN) 16 Ashmont Ave Apt 2, Worcester, MA 01610-2886 2019-08-27
1699271437 Elijah Williamson Non-emergency Medical Transport (VAN) 36c Gibbs St Apt 34, Worcester, MA 01607-1469 2018-04-02
1851821946 Medical Choice Inc Non-emergency Medical Transport (VAN) 16 Brookside Ave, Worcester, MA 01602-1658 2017-06-13
1811360308 Compass Transportation Inc Non-emergency Medical Transport (VAN) 330 Greenwood St, Worcester, MA 01607-1729 2015-11-05
1396013686 Safeway Luxury Transportation L.L.C. Non-emergency Medical Transport (VAN) 112 Grove St Rear, Worcester, MA 01605-2629 2011-12-01
1912212622 Worcester Medical Transportation LLC Non-emergency Medical Transport (VAN) 237 Chandler St, Worcester, MA 01609-2935 2010-08-18
1871064253 Savannah Transportation LLC Non-emergency Medical Transport (VAN) 11 Gibbs St, Worcester, MA 01607-1453 2018-12-11
1174093330 Middlesex Transporters LLC Non-emergency Medical Transport (VAN) 130 Lincoln St, Worcester, MA 01605-2430 2018-11-30
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Competitor

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City WORCESTER
Zip Code 01604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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