Provider Demographics
NPI:1487537395
Name:JACK AND JILL RIDES LLC
Entity type:Organization
Organization Name:JACK AND JILL RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-404-5561
Mailing Address - Street 1:1434 ULSTER ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3345
Mailing Address - Country:US
Mailing Address - Phone:720-404-5561
Mailing Address - Fax:
Practice Address - Street 1:1434 ULSTER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3345
Practice Address - Country:US
Practice Address - Phone:720-404-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)