OrganizationActive
Boomer Ride
NPI 1194121210 · Private Vehicle · Hastings, MN
Provider details
- NPI number
- 1194121210
- Entity type
- Organization
- Primary specialty
- Private VehicleTransportation Services
- Organization subpart
- No
- Authorized official
- Leslie Howard, Owner(651) 263-0189
- License
- C893012006120 (MN)
Specialties & taxonomies
Transportation Services
Practice location
724 5th St W Apt B
Hastings, MN 55033-1745
Phone: (651) 263-0189
Approximate (ZIP-level) locationGet directions
Mailing address
724 5th St W Apt B
Hastings, MN 55033-1745
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2014-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.