Coracol Medtrans LLC

Primary specialty

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

Legal business name

CORACOL MEDTRANS LLC

Practice address

2551 Sylvan Moor LN
Woodbridge, VA 22191-6327

Phone

(571) 477-2730

NPI assigned

Nov 10, 2021

Last updated

Jan 21, 2022By 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

Adama Peters

Title

Owner

Phone

(571) 477-2730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1982360210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SYLVAN MOOR LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916327",
            "telephone_number": "571-477-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SYLVAN MOOR LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916327",
            "telephone_number": "571-477-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORACOL MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ADAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-477-2730"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyamond Charlea Copeland
• Kenneth Edward Copeland III, MSW
• Yvonneda Copeland, LCSW
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• Cornerstone Medical Services PC
• Cornerstone Supportive Care, LLC

• 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 Jan 21, 2022; 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.