Healthcare Provider Details

I. General information

NPI: 1942125729
Provider Name (Legal Business Name): AMNIE MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1109 SANCTUARY CT
SILVER SPRING MD
20906-2107
US

IV. Provider business mailing address

1109 SANCTUARY CT
SILVER SPRING MD
20906-2107
US

V. Phone/Fax

Practice location:
  • Phone: 202-883-2678
  • Fax:
Mailing address:
  • Phone: 202-883-2678
  • Fax: 301-565-8157

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: DEBORA M ACHICHA CHAMKAGA
Title or Position: PRESIDENT
Credential:
Phone: 202-883-2678