=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023994860
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | V-LINK MOBILITY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2025
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6196 MILLWOOD DR
-----------------------------------------------------
City | WARRENTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20187-7943
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-912-3973
-----------------------------------------------------
Fax | 757-912-3973
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11166 FAIRFAX BLVD
-----------------------------------------------------
City | FARIRFAX
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20187
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-912-3973
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROJECT MANAGER
-----------------------------------------------------
Name | EDITH JEAN CAMPBELL MBUYI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 175-791-2397
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------