Provider Demographics
NPI:1013421460
Name:NEW VISION TRANSPORTATION LLC
Entity type:Organization
Organization Name:NEW VISION TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-888-9888
Mailing Address - Street 1:13509 CHIPPER CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-6003
Mailing Address - Country:US
Mailing Address - Phone:703-888-9888
Mailing Address - Fax:703-753-2900
Practice Address - Street 1:13509 CHIPPER CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-6003
Practice Address - Country:US
Practice Address - Phone:703-888-9888
Practice Address - Fax:703-753-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10719122-2017343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)