Healthcare Provider Details

I. General information

NPI: 1649105503
Provider Name (Legal Business Name): MY CHOICE TRANSPORTATION LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5132 OLD WARWICK RD
RICHMOND VA
23224-2900
US

IV. Provider business mailing address

5132 OLD WARWICK RD
RICHMOND VA
23224-2900
US

V. Phone/Fax

Practice location:
  • Phone: 804-300-9600
  • Fax:
Mailing address:
  • Phone: 804-300-9600
  • 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: TEWODROS AYEHU
Title or Position: OWNER
Credential: CEO
Phone: 804-300-9600