Organization Active NPI

My Soul Transport LLC

Doing business as N/a

  • Non-emergency Medical Transport (VAN)
  • Woodbridge, VA
National Provider Identifier
1043736275
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
560 Issued in VA
Legal business name
MY SOUL TRANSPORT LLC
Doing business as
N/a
Practice address
1512 Constellation PL Apt 202
Woodbridge, VA 22191-5218
Phone
(571) 477-8330
Fax
(703) 490-7250
NPI assigned
Aug 18, 2017
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Adjei, N/A
Title
Owner
Phone
(571) 477-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 560 VA Primary

Addresses

Primary practice location

1512 Constellation PL Apt 202
Woodbridge, VA 22191-5218

Mailing address

1512 Constellation PL Apt 202
Woodbridge, VA 22191-5218
Phone (571) 477-8330

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1043736275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CONSTELLATION PL APT 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915218",
            "telephone_number": "571-477-8330",
            "fax_number": "703-490-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CONSTELLATION PL APT 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915218",
            "telephone_number": "571-477-8330",
            "fax_number": "703-490-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SOUL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "ADJEI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-477-8330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2024; 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.