Waridala Non-Emergency Medical Transportation LLC

Primary specialty

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

Legal business name

WARIDALA NON-EMERGENCY MEDICAL TRANSPORTATION LLC

Practice address

14380 Berkshire Dr
Woodbridge, VA 22193-1510

Phone

(703) 953-0656

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bundu Fofanah, DRIVER/PROVIDER

Title

Ceo

Phone

(703) 953-0656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1821872649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14380 BERKSHIRE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931510",
            "telephone_number": "703-953-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14380 BERKSHIRE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931510",
            "telephone_number": "703-953-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARIDALA NON-EMERGENCY MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "FOFANAH",
        "authorized_official_first_name": "BUNDU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-953-0656",
        "authorized_official_credential": "DRIVER/PROVIDER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Woodbridge, VA
• Providers in Woodbridge, 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 Aug 22, 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.