Healthcare Provider Details

I. General information

NPI: 1720720402
Provider Name (Legal Business Name): VIP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 MADISON RD
CULPEPER VA
22701-3325
US

IV. Provider business mailing address

771 MADISON RD
CULPEPER VA
22701-3325
US

V. Phone/Fax

Practice location:
  • Phone: 540-445-5643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: AMEER ALSHAMMARI
Title or Position: OWNER/MANAGER
Credential:
Phone: 434-249-9883