ADVANCED LIFE SUPPORT CORP. (NPI# 1386195311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386195311 |
| Entity Type | Organization |
| Organization Name | ADVANCED LIFE SUPPORT CORP. |
| Practice Address |
11905 Main St Fredericksburg VA 22408-7326 |
| Mailing Address |
Po Box 6101 Fredericksburg VA 22403-6101 |
| Practice Telephone | 5402079284 |
| Practice Fax Number | 5408988138 |
| Mailing Telephone | 5402079287 |
| Mailing Fax Number | 5408988138 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | MAWIA BAKRI MOHAMED (OWNER) |
| Authorized Official Telephone | 5402079284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 166 | VA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Advanced Life Support Corp. | Po Box 6101, Fredericksburg, Virginia 22403 |
| Street Address |
11905 MAIN ST |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-7326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174995476 | American Home Healthcare Solutions LLC | Home Health | 11905 Main St, Fredericksburg, VA 22408-7326 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| 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 |
|---|---|---|---|---|
| 1386250264 | Jo'smart Systems LLC | Non-emergency Medical Transport (VAN) | 18 English Oak Cir, Fredericksburg, VA 22408-1577 | 2020-09-16 |
| 1073071783 | Royal Chariot Transportation Services LLC | Non-emergency Medical Transport (VAN) | 12013 Prosperity Ct, Fredericksburg, VA 22407-6719 | 2019-03-12 |
| 1275090490 | Patience Zapina Ngalla | Non-emergency Medical Transport (VAN) | 3 Lynchester Dr, Fredericksburg, VA 22406-6270 | 2019-02-24 |
| 1134604119 | Ac Transport, LLC | Non-emergency Medical Transport (VAN) | 4769 Ewell Rd, Fredericksburg, VA 22408-2640 | 2018-09-26 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1003308214 | Muluye Non-emergency Transportation LLC | Non-emergency Medical Transport (VAN) | 44 Goldcup Dr, Fredericksburg, VA 22406-1042 | 2018-06-04 |
| 1104361872 | Healing Life Healthcare Services LLC | Non-emergency Medical Transport (VAN) | 26 Perchwood Dr, Fredericksburg, VA 22405-4516 | 2017-01-04 |
| 1306205844 | Delancy Jackson | Non-emergency Medical Transport (VAN) | 11227 Trisler Dr, Fredericksburg, VA 22407-6475 | 2016-02-11 |
| 1235596784 | Angel Rides Inc | Non-emergency Medical Transport (VAN) | 1952 William St, Fredericksburg, VA 22401-5128 | 2016-01-27 |
| 1386054377 | Atk Transportation, LLC | Non-emergency Medical Transport (VAN) | 5502 Rudy Ln, Fredericksburg, VA 22407-1226 | 2014-04-30 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on ADVANCED LIFE SUPPORT CORP..
| 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.