Healthcare Provider Details

I. General information

NPI: 1992624928
Provider Name (Legal Business Name): ACTIVE CARE TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31157 LEE HWY APT D
GLADE SPRING VA
24340-4980
US

IV. Provider business mailing address

PO BOX 97
GLADE SPRING VA
24340-0097
US

V. Phone/Fax

Practice location:
  • Phone: 276-614-6557
  • Fax:
Mailing address:
  • Phone: 276-614-6557
  • 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: MR. AHSAN IQBAL
Title or Position: PRESEDENT
Credential:
Phone: 276-614-6557