Organization Active NPI

Sage Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Stafford, VA
National Provider Identifier
1962277384
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAGE TRANSPORT LLC
Practice address
1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655
Phone
(703) 981-4535
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Gloria Owusu
Title
Owner/Agency Administration
Phone
(703) 981-4535

Specialties & licenses 1

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

Addresses

Primary practice location

1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655

Mailing address

1229 Garrisonville Rd Ste 204
Stafford, VA 22556-3655
Phone (703) 981-4535

Other identifiers 1

IdentifierTypeStateIssuer
11578096OtherVAVA SCC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1962277384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 GARRISONVILLE RD STE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563655",
            "telephone_number": "703-981-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 GARRISONVILLE RD STE 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563655",
            "telephone_number": "703-981-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER/AGENCY ADMINISTRATION",
        "authorized_official_telephone_number": "703-981-4535"
    },
    "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": "VA SCC",
            "identifier": "11578096",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.