Healthcare Provider Details

I. General information

NPI: 1245147057
Provider Name (Legal Business Name): ANGEL MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19059 ARROYO TER
LEESBURG VA
20176-8442
US

IV. Provider business mailing address

19059 ARROYO TER
LEESBURG VA
20176-8442
US

V. Phone/Fax

Practice location:
  • Phone: 703-623-5010
  • Fax:
Mailing address:
  • Phone: 703-623-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: AJUAH A AMOSAH
Title or Position: OWNER
Credential: LPN
Phone: 703-623-5010