Healthcare Provider Details

I. General information

NPI: 1467387357
Provider Name (Legal Business Name): EDEN WAYS TRANSPORT, 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

262 MANNINGS LN
VIRGINIA BEACH VA
23462-4361
US

IV. Provider business mailing address

3419 VIRGINIA BEACH BLVD # 378
VIRGINIA BEACH VA
23452-4419
US

V. Phone/Fax

Practice location:
  • Phone: 757-769-0058
  • Fax:
Mailing address:
  • Phone:
  • 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: SHARON RENE CARTER THOMPSON
Title or Position: OWNER OPERATOR
Credential:
Phone: 757-769-0058