Healthcare Provider Details

I. General information

NPI: 1235033929
Provider Name (Legal Business Name): COMPETENCY CARE CONNECT TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 HAYWARD AVE STE A1
CHESAPEAKE VA
23320-2200
US

IV. Provider business mailing address

1806 HAYWARD AVE STE A1
CHESAPEAKE VA
23320-2200
US

V. Phone/Fax

Practice location:
  • Phone: 757-250-2904
  • Fax: 757-260-8881
Mailing address:
  • Phone: 757-250-2904
  • Fax: 757-260-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIANA EVANS-RIVERA
Title or Position: CO-OWNER
Credential:
Phone: 757-250-2904