=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366318784
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EZ GOIN RELIABLE TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2025
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7694 DARLINGTON HEIGHTS RD
-----------------------------------------------------
City | FARMVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23901-5855
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-543-8873
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1248 CARMIA WAY # 1030
-----------------------------------------------------
City | NORTH CHESTERFIELD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23235-4750
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-543-8873
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARY C SPENCER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-543-8873
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------