Provider Demographics
NPI:1033954896
Name:VISIONOVE LLC
Entity type:Organization
Organization Name:VISIONOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NITANGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-318-7733
Mailing Address - Street 1:10514 ABBERLY VILLAGE LN APT 437
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBRG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-2723
Mailing Address - Country:US
Mailing Address - Phone:804-318-7733
Mailing Address - Fax:
Practice Address - Street 1:10514 ABBERLY VILLAGE LN APT 437
Practice Address - Street 2:
Practice Address - City:FREDERICKSBRG
Practice Address - State:VA
Practice Address - Zip Code:22407-2723
Practice Address - Country:US
Practice Address - Phone:804-318-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)