=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861296907
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHVID CARE TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2025
-----------------------------------------------------
Last Update Date | 04/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8635 LINDA WAY
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34112-3449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-204-6697
-----------------------------------------------------
Fax | 239-302-3479
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8635 LINDA WAY
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34112-3449
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-204-6697
-----------------------------------------------------
Fax | 239-302-3479
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JEAN DAVID ANESCA JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 239-204-6697
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------