Exodus Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

EXODUS TRANSPORT, LLC

Practice address

7124 Forest Hill Ave Ste D
Richmond, VA 23225-1541

Phone

(804) 269-4881

Fax

(804) 726-6251

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. John Borden

Title

Co-Owner

Phone

(804) 475-5416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Exodus Transport, LLC Doing business as

Locations

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1265098115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 FOREST HILL AVE STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251541",
            "telephone_number": "804-269-4881",
            "fax_number": "804-726-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 FOREST HILL AVE STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251541",
            "telephone_number": "804-269-4881",
            "fax_number": "804-726-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-475-5416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12111961",
            "identifier": "12111961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Transport, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Richmond, VA
• Providers in Richmond, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.