Healthcare Provider Details

I. General information

NPI: 1609702349
Provider Name (Legal Business Name): IMMANUEL'S REGIONAL TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 HIBIE ST
NORFOLK VA
23523-1715
US

IV. Provider business mailing address

404 S PARLIAMENT DR STE 201
VIRGINIA BEACH VA
23462-6302
US

V. Phone/Fax

Practice location:
  • Phone: 757-263-0813
  • Fax:
Mailing address:
  • Phone: 757-263-0813
  • 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: LAKISHA ALNEACKE BEALE
Title or Position: OWNER
Credential:
Phone: 757-263-0813