Healthcare Provider Details

I. General information

NPI: 1083542401
Provider Name (Legal Business Name): SHIFA MOBILITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42287 RIGGINS RIDGE TER
BRAMBLETON VA
20148-7452
US

IV. Provider business mailing address

42287 RIGGINS RIDGE TER
BRAMBLETON VA
20148-7452
US

V. Phone/Fax

Practice location:
  • Phone: 817-874-3063
  • Fax:
Mailing address:
  • Phone: 817-874-3063
  • 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: TAWFIQUL HASSAN ROMMEL
Title or Position: MEMBER/COO
Credential:
Phone: 817-874-3063