Active NPI
A & D Mobility Service LLC
- Secured Medical Transport (VAN)
- Woodbridge, VA
National Provider Identifier
1033669684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- 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 DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
NPPES NPI RegistryPrimary 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.