Provider Demographics
NPI:1689479156
Name:TIRA RIDE LLC
Entity type:Organization
Organization Name:TIRA RIDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:TEMESGHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBREYOHANNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-828-9225
Mailing Address - Street 1:203 S NEWARK CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1207
Mailing Address - Country:US
Mailing Address - Phone:720-828-9225
Mailing Address - Fax:
Practice Address - Street 1:203 S NEWARK CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1207
Practice Address - Country:US
Practice Address - Phone:720-828-9225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)