Healthcare Provider Details

I. General information

NPI: 1699619494
Provider Name (Legal Business Name): EQUILIBRIUM TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FALLS BLVD APT F6113
QUINCY MA
02169-8178
US

IV. Provider business mailing address

500 FALLS BLVD APT F6113
QUINCY MA
02169-8178
US

V. Phone/Fax

Practice location:
  • Phone: 781-975-6111
  • Fax:
Mailing address:
  • Phone: 781-975-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA ROZGA
Title or Position: PRESIDENT
Credential:
Phone: 781-975-6111