MEDICARE: MY LIFE HAS DESTINY 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	347E00000X	Transportation Broker
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1427985027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY LIFE HAS DESTINY TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	1412 OAKDALE AVE
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-3915
Country	:	US
Telephone Number	:	804-760-3976
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 OAKDALE AVE
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-3915
Country	:	US
Telephone Number	:	804-760-3976
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	AQUINTAS JONES
Credential	:	LPN
Telephone Number	:	678-557-5908

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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