Healthcare Provider Details

I. General information

NPI: 1144187949
Provider Name (Legal Business Name): PRIME ACCESS MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BELMORE RD
TIMONIUM MD
21093-6107
US

IV. Provider business mailing address

25 BELMORE RD
TIMONIUM MD
21093-6107
US

V. Phone/Fax

Practice location:
  • Phone: 443-554-2118
  • Fax:
Mailing address:
  • Phone: 443-554-2118
  • 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: KEDAR SHAHI
Title or Position: MANAGING MEMBER
Credential:
Phone: 443-554-2118