Individual provider Active NPI

Angelina Frema Agyei

  • Non-emergency Medical Transport (VAN)
  • Manassas, VA
National Provider Identifier
1245934306
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2731 Issued in VA
Practice address
9300 Forest Point Cir Ste 131
Manassas, VA 20110-4743
Phone
(703) 479-1117
Fax
(703) 479-2191
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 2731 VA Primary

Addresses

Primary practice location

9300 Forest Point Cir Ste 131
Manassas, VA 20110-4743

Mailing address

9300 Forest Point Cir Ste 131
Manassas, VA 20110-4743
Phone (703) 479-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2731VAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom of Hope Health Services LLC Current Accepting new patients
Blossom of Hope Medical Transportation Non-Emergency Medical Transport (Van) Current Accepting new patients

Locations

9300 Forest Point Cir
Ste 131
Manassas, VA 20110
Phone (703) 479-1117

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1245934306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR STE 131",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104743",
            "telephone_number": "703-479-1117",
            "fax_number": "703-479-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FOREST POINT CIR STE 131",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104743",
            "telephone_number": "703-479-1117",
            "fax_number": "703-479-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEI",
        "first_name": "ANGELINA",
        "middle_name": "FREMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.