Provider Demographics
NPI:1790433282
Name:ACORN MEDICAL TRANSPORTATION L.L.C.
Entity Type:Organization
Organization Name:ACORN MEDICAL TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST . JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-645-2575
Mailing Address - Street 1:916 ADVENTURE WAY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4126
Mailing Address - Country:US
Mailing Address - Phone:757-800-3614
Mailing Address - Fax:757-800-3614
Practice Address - Street 1:916 ADVENTURE WAY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-4126
Practice Address - Country:US
Practice Address - Phone:646-645-2575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle