Provider Demographics
NPI:1164008314
Name:EPIC JOURNEYS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:EPIC JOURNEYS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARCHIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-931-0677
Mailing Address - Street 1:24610 COX RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-8816
Mailing Address - Country:US
Mailing Address - Phone:804-931-0677
Mailing Address - Fax:
Practice Address - Street 1:24610 COX RD
Practice Address - Street 2:
Practice Address - City:NORTH DINWIDDIE
Practice Address - State:VA
Practice Address - Zip Code:23803-8816
Practice Address - Country:US
Practice Address - Phone:804-931-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA344600000XMedicaid
VA344600000Medicaid