Healthcare Provider Details

I. General information

NPI: 1609563451
Provider Name (Legal Business Name): RELICARE TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 ALLIED ST STE 29
CHARLOTTESVILLE VA
22903-5334
US

IV. Provider business mailing address

1710 ALLIED ST STE 29
CHARLOTTESVILLE VA
22903-5334
US

V. Phone/Fax

Practice location:
  • Phone: 434-227-6197
  • Fax: 434-202-0447
Mailing address:
  • Phone: 434-227-6197
  • Fax: 434-202-0447

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: BESSIE R SMITH
Title or Position: CEO
Credential:
Phone: 434-227-6197