MEDICARE: FRIENDS NEMT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus
2	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	854	OTHER	VA	VIRGINIA NEMT CERTIFICATE

General Provider Information

NPI Number	:	1255983193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS NEMT, INC.

Provider Business Mailing Address
First Line	:	10806A HENDERSON RD
Second Line	:
City	:	FAIRFAX STATION
State	:	VA
Zip	:	22039-2226
Country	:	US
Telephone Number	:	571-251-1591
Fax Number	:	571-350-8225

Provider Business Practice Location Address
First Line	:	8220 LITTLE RIVER TPKE
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-2305
Country	:	US
Telephone Number	:	571-294-3772
Fax Number	:	571-350-8225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAN-SUNG CHO
Credential	:
Telephone Number	:	571-251-1591

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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Directions to “FRIENDS NEMT, INC. ” Practice Location

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