Endeavor Medical Transport LLC

Primary specialty

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

Legal business name

ENDEAVOR MEDICAL TRANSPORT LLC

Practice address

7915 Frye Rd
Alexandria, VA 22309-1101

Phone

(757) 401-5592

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Maxwell Sam Manimoi

Title

Mananger

Phone

(757) 401-5592

Specialties & licenses 1

Addresses

Other names 1

• Endeavor Medical Transport LLC Former legal business name

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1306698444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 FRYE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091101",
            "telephone_number": "757-401-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 FRYE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091101",
            "telephone_number": "757-401-5592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Bowdens Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235082320",
            "country_code": "US",
            "telephone_number": "757-401-5592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDEAVOR MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "SAM MANIMOI",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "757-401-5592"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor Medical Transport LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Emmons
• Empathy Wellness Center
• Empower Home LLC
• Empowerher Psychiatry
• Joshua James Emrick, D.D.S., PH.D.
• Endoscopy Healthcare Specialists LLC
• Energize Your Size, LLC
• Radhika R Engineer, PHARM D.
• Englefieldpsychotherapy, LLC
• Jason Engler

• Non-emergency Medical Transport (VAN) in Alexandria, VA
• Providers in Alexandria, 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 Apr 2, 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.