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BOOMER RIDE
NPI 1194121210
Private Vehicle in Hastings, MN

Active since November 17, 2014
724 5TH ST W APT B, HASTINGS, MN 55033(651) 263-0189 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boomer Ride NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOOMER RIDE (NPI 1194121210) is a healthcare organization registered as a private vehicle in Hastings, Minnesota and active in the NPI registry since November 2014. The organization lists Leslie Dean Howard, Owner, as its authorized official.

NPPES Registry Identity

NPI1194121210
Entity TypeOrganization
Primary Taxonomy347C00000X
Legal Business NameBOOMER RIDE
Location Address724 5TH ST W APT BHastings, MN 55033-1745
Mailing Address724 5th St W Apt BHastings, MN 55033-1745 · (651) 263-0189
Phone(651) 263-0189
Organization SubpartNo
Authorized OfficialLeslie Dean HowardOwner · (651) 263-0189
Enumeration DateNovember 17, 2014
✔ NPI 1194121210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in MN · C893012006120
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
724 5TH ST W APT B, Hastings, MN 55033
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boomer Ride's NPI number?

The NPI number for Boomer Ride is 1194121210. It was assigned to this organization in the NPPES registry on November 17, 2014.

Where is Boomer Ride located?

Boomer Ride is located at 724 5th St W Apt B, Hastings, MN 55033. The listed phone number is (651) 263-0189.

What is Boomer Ride's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Boomer Ride was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.