Provider Demographics
NPI:1871387944
Name:HEALTHBRIDGERIDES LLC
Entity type:Organization
Organization Name:HEALTHBRIDGERIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SELAMAWIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TILAHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-781-1581
Mailing Address - Street 1:908 AUDELIA RD STE 200-235
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5166
Mailing Address - Country:US
Mailing Address - Phone:469-781-1581
Mailing Address - Fax:
Practice Address - Street 1:523 TOWNE HOUSE LN
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3529
Practice Address - Country:US
Practice Address - Phone:469-781-1581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)