Healthcare Provider Details

I. General information

NPI: 1922944909
Provider Name (Legal Business Name): ARRADDA TRANSPORTATION AR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 S HERITAGE CIR
ROGERS AR
72758-4947
US

IV. Provider business mailing address

1511 S HERITAGE CIR
ROGERS AR
72758-4947
US

V. Phone/Fax

Practice location:
  • Phone: 512-317-4357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TEWODROS KASSA
Title or Position: OWNER
Credential:
Phone: 512-317-4357