Provider Demographics
NPI:1619534880
Name:1 ACCORD TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:1 ACCORD TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SHURON
Authorized Official - Middle Name:D
Authorized Official - Last Name:POTEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-402-3693
Mailing Address - Street 1:1157 S MILITARY HWY STE 201B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2352
Mailing Address - Country:US
Mailing Address - Phone:757-402-3693
Mailing Address - Fax:757-395-4372
Practice Address - Street 1:1157 S MILITARY HWY STE 201B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2352
Practice Address - Country:US
Practice Address - Phone:757-402-3693
Practice Address - Fax:757-395-4372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1 ACCORD HOME HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)