Healthcare Provider Details

I. General information

NPI: 1801701990
Provider Name (Legal Business Name): HEART WAY TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 SNYDER AVE
MODESTO CA
95356-8775
US

IV. Provider business mailing address

1713 SNYDER AVE
MODESTO CA
95356-8775
US

V. Phone/Fax

Practice location:
  • Phone: 209-539-2040
  • Fax: 209-534-8129
Mailing address:
  • Phone: 209-539-2040
  • Fax: 209-534-8129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: PAULA ADRIANA SILVA GOULART LOPES
Title or Position: OWNER
Credential: SILVA GOULART LOPES
Phone: 209-534-8129