MEDICARE: I NEED TRANSPORTATION SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1083231914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I NEED TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	5613 LEESBURG PIKE STE 50
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2912
Country	:	US
Telephone Number	:	571-458-9227
Fax Number	:	703-310-4689

Provider Business Practice Location Address
First Line	:	5613 LEESBURG PIKE STE 50
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2912
Country	:	US
Telephone Number	:	571-458-9227
Fax Number	:	703-310-4689

Authorized Official
Title or Position	:	OWNER
Name	:	EPHREM G MDEHEN
Credential	:
Telephone Number	:	571-458-9227

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	06/26/2020

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