GOOD CUSTODIAN SERVICES, LLC (NPI# 1215428859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215428859 |
| Entity Type | Organization |
| Organization Name | GOOD CUSTODIAN SERVICES, LLC |
| Practice Address |
15426 Bevanwood Dr Woodbridge VA 22193-5716 |
| Practice Telephone | 7035801077 |
| Mailing Telephone | 7035801077 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | MS. PHILOMENA DESMOND (MANAGER) |
| Authorized Official Telephone | 7035801077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | IM675 | VA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MOTOR CARRIER TRANSPORTATION NUMBER | IM675 | 01 |
| Street Address |
15426 BEVANWOOD DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943191 | Tripplewin Transportation and Delivery Service LLC | Non-emergency Medical Transport (VAN) | 15242 Wentwood Ln, Woodbridge, VA 22191-4926 | 2020-02-06 |
| 1619508199 | Bren Desmond Lowery | Non-emergency Medical Transport (VAN) | 12621 Yardarm Pl, Woodbridge, VA 22192-2123 | 2020-02-03 |
| 1205476462 | Teklu LLC | Non-emergency Medical Transport (VAN) | 1305 Dutchess Ln, Woodbridge, NJ 07095-3853 | 2020-01-15 |
| 1487205027 | Babila Jordan Non-medical Transportation LLC | Non-emergency Medical Transport (VAN) | 16730 Sweeney Ln, Woodbridge, VA 22191-4765 | 2019-09-25 |
| 1104472075 | Papa's Transport Inc | Non-emergency Medical Transport (VAN) | 15302 Bronco Way, Woodbridge, VA 22193-8500 | 2019-08-15 |
| 1598324451 | Blooming Ride Inc | Non-emergency Medical Transport (VAN) | 1788 Rochelle Ct, Woodbridge, VA 22192-5630 | 2019-06-12 |
| 1366927923 | Harris & Blanks Transportation LLC | Non-emergency Medical Transport (VAN) | 13207 Old Delaney Rd, Woodbridge, VA 22193-4850 | 2018-09-30 |
| 1063999894 | Tetteh Addy | Non-emergency Medical Transport (VAN) | 13081 Carolyn Forest Dr, Woodbridge, VA 22192-5621 | 2018-07-24 |
| 1578052015 | Go Express Inc | Non-emergency Medical Transport (VAN) | 674 Amboy Ave, Woodbridge, NJ 07095-3120 | 2018-05-09 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.