Healthcare Provider Details

I. General information

NPI: 1750078515
Provider Name (Legal Business Name): HIGHLANDER NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 BRANDON AVE SE 221
ROANOKE VA
24018
US

IV. Provider business mailing address

3451 BRANDON AVE SE STE#221
ROANOKE VA
24018
US

V. Phone/Fax

Practice location:
  • Phone: 540-353-4599
  • Fax:
Mailing address:
  • Phone: 540-556-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. SAMERAWIT KAHSAY ADAGISH
Title or Position: CEO
Credential:
Phone: 540-556-0282