Healthcare Provider Details

I. General information

NPI: 1992620389
Provider Name (Legal Business Name): HEALTHROUTE MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8417 MINERAL SPRINGS DR
MANASSAS VA
20112-2418
US

IV. Provider business mailing address

8417 MINERAL SPRINGS DR
MANASSAS VA
20112-2418
US

V. Phone/Fax

Practice location:
  • Phone: 571-719-9745
  • Fax:
Mailing address:
  • Phone: 571-719-9745
  • 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: RAFIULLAH SAFI
Title or Position: SOLE MEMBER
Credential:
Phone: 517-719-9745