Healthcare Provider Details

I. General information

NPI: 1124942438
Provider Name (Legal Business Name): NORTHERN LIGHTS TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 MISSION AVE STE J
CARMICHAEL CA
95608-2955
US

IV. Provider business mailing address

3609 MISSION AVE STE J
CARMICHAEL CA
95608-2955
US

V. Phone/Fax

Practice location:
  • Phone: 916-548-4409
  • Fax:
Mailing address:
  • Phone: 916-548-4409
  • 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: ELOISA M POSADAS-WORSFOLD
Title or Position: PRESIDENT
Credential: RN
Phone: 916-548-4409