MEDICARE: HOPE CARE TRANSPORTATION L.L.C.

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	:	1831628437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CARE TRANSPORTATION L.L.C.

Provider Business Mailing Address
First Line	:	9207 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4946
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9207 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4946
Country	:	US
Telephone Number	:	804-218-0826
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AYMEN SHEIKHIDRIS
Credential	:
Telephone Number	:	804-218-0826

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	06/07/2017

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