OrganizationActive
Simple Medicaid Ride LLC
NPI 1811699028 · Non-emergency Medical Transport (VAN) · Pueblo, CO
Provider details
- NPI number
- 1811699028
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Sisay Kidane, Owner(603) 285-8398
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1145 Gray Wolf Cir
Pueblo, CO 81001-4902
Phone: (603) 285-8398
Street-level locationGet directions
Mailing address
1145 Gray Wolf Cir
Pueblo, CO 81001-4902
Other names (DBA / former)
- Doing business as
- Simple Medicaid Ride
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2023-03-21
- Certified
- 2023-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.