Organization Active NPI

A & D Mobility Service LLC

  • Secured Medical Transport (VAN)
  • Woodbridge, VA
National Provider Identifier
1033669684
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
A & D MOBILITY SERVICE LLC
Practice address
1376 Old Bridge Rd # 101
Woodbridge, VA 22192-2708
Phone
(571) 589-6509
NPI assigned
Oct 6, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Dervent Dacosta
Title
Owner
Phone
(571) 589-6509

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

NPPES NPI Registry

Primary practice location

1376 Old Bridge Rd # 101
Woodbridge, VA 22192-2708

Mailing address

1376 Old Bridge Rd # 101
Woodbridge, VA 22192-2708
Phone (571) 589-6509

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2016.

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1033669684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 OLD BRIDGE RD # 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "571-589-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 OLD BRIDGE RD # 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922708",
            "telephone_number": "571-589-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & D MOBILITY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "DACOSTA",
        "authorized_official_first_name": "DERVENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-589-6509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.