Organization · Type 2 NPI

Good Custodian Services, LLC

Non-emergency Medical Transport (VAN) · Woodbridge, VA

NPI number 1336888239 Active

Practice location

15426 Bevanwood Dr
Woodbridge, VA 22193-5716

Fax (703) 373-2813

Specialties and licenses

Taxonomy	Code	License
Non-emergency Medical Transport (VAN) Primary	343900000X	None listed
Chore Provider	372500000X	None listed
Respite Care	385H00000X	None listed

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Another provider at this address

Good Custodian Services, LLCNon-emergency Medical Transport (VAN) Woodbridge, VA NPI 1215428859

Other non-emergency medical transport (van) providers in Woodbridge

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NPI record

NPI: 1336888239
Entity type: Organization (Type 2)
Issued: May 31, 2022
Last updated: May 31, 2022
Status: Active
Subpart: Yes of Good Custodian Services, LLC

Other names

Good Custodian Services, LLC · doing business as
Good Custodian Home Health Care Agency · other name
Good Custodian Non-Emergency Medical Transportation · other name

Authorized official

Philomena Desmond-Ogugua
Manager
(571) 589-7866

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336888239

Good Custodian Services, LLC's National Provider Identifier is 1336888239, issued on May 31, 2022. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Woodbridge, VA. The record was last updated on May 31, 2022.