Healthcare Provider Details

I. General information

NPI: 1710812540
Provider Name (Legal Business Name): CG MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 W BROAD ST # 32
RICHMOND VA
23230-5103
US

IV. Provider business mailing address

2920 W BROAD ST # 32
RICHMOND VA
23230-5103
US

V. Phone/Fax

Practice location:
  • Phone: 844-809-2646
  • Fax: 833-681-3202
Mailing address:
  • Phone: 844-809-2646
  • Fax: 833-681-3202

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: MARLON MEREDITH
Title or Position: ADMINISTRATION MANAGER
Credential:
Phone: 307-752-9490