Provider Demographics
NPI:1174990741
Name:BESTRIDE TRANSPORTATION INC.
Entity type:Organization
Organization Name:BESTRIDE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-742-3489
Mailing Address - Street 1:8232 CONCORD LN UNIT D
Mailing Address - Street 2:
Mailing Address - City:JUSTICE
Mailing Address - State:IL
Mailing Address - Zip Code:60458-1899
Mailing Address - Country:US
Mailing Address - Phone:844-803-7433
Mailing Address - Fax:844-803-7433
Practice Address - Street 1:1643 N 20TH AVE
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1903
Practice Address - Country:US
Practice Address - Phone:773-507-4465
Practice Address - Fax:844-803-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-30
Last Update Date:2015-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle