Provider Demographics
NPI:1255983193
Name:FRIENDS NEMT, INC.
Entity type:Organization
Organization Name:FRIENDS NEMT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAN-SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-251-1591
Mailing Address - Street 1:10806A HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-2226
Mailing Address - Country:US
Mailing Address - Phone:571-251-1591
Mailing Address - Fax:571-350-8225
Practice Address - Street 1:8220 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2305
Practice Address - Country:US
Practice Address - Phone:571-294-3772
Practice Address - Fax:571-350-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA854OtherVIRGINIA NEMT CERTIFICATE