Healthcare Provider Details

I. General information

NPI: 1659283844
Provider Name (Legal Business Name): EVERTRUST MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

8264 SHANNONS LANDING WAY
LORTON VA
22079-1228
US

IV. Provider business mailing address

8264 SHANNONS LANDING WAY
LORTON VA
22079-1228
US

V. Phone/Fax

Practice location:
  • Phone: 703-819-7922
  • Fax:
Mailing address:
  • Phone: 703-819-7922
  • 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: ABEBA HAILEMICAEL
Title or Position: MANAGER
Credential:
Phone: 703-819-7922