JUAN ILLESCA (NPI# 1447606991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447606991 |
| Entity Type | Individual |
| Full Name | JUAN ILLESCA |
| Practice Address |
22054 Shaw Rd Ste H Sterling VA 20164-9321 |
| Practice Telephone | 5712689858 |
| Practice Fax Number | 5713131147 |
| Mailing Telephone | 5712689858 |
| Mailing Fax Number | 5713131147 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 277 | VA | Transportation Services |
| Street Address |
22054 SHAW RD STE H |
| City | STERLING |
| State | VA |
| Zip Code | 20164-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063251 | American Rides Livery Service LLC | Non-emergency Medical Transport (VAN) | 53 Brookstone Dr, Sterling, CT 06377-1420 | 2019-10-01 |
| 1205350733 | J&l Transport LLC | Non-emergency Medical Transport (VAN) | 610 S Concord Ct, Sterling, VA 20164-4213 | 2017-07-26 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1215479290 | Eastern Colorado Services for The Developmentally Disabled,inc | Non-emergency Medical Transport (VAN) | 222 E Chestnut St, Sterling, CO 80751-4362 | 2016-11-08 |
| 1861934952 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Non-emergency Medical Transport (VAN) | 618 S 10th Ave, Sterling, CO 80751-3415 | 2016-11-07 |
| 1285904318 | Quality Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 58 Holden Rd, Sterling, MA 01564-2421 | 2012-01-05 |
| 1871821124 | Iym Services LLC | Non-emergency Medical Transport (VAN) | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2009-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376939 | Supreme Taxi LLC | Non-emergency Medical Transport (VAN) | 5407 Grist Mill Dr, North Chesterfield, VA 23234-6705 | 2020-11-03 |
| 1629679154 | Whitney Simmons | Non-emergency Medical Transport (VAN) | 4103 Cedar Ln Apt B, Portsmouth, VA 23703-2040 | 2020-11-02 |
| 1407456544 | Lavender Non-medical Transportations LLC | Non-emergency Medical Transport (VAN) | 901 S Highland St Ste 333, Arlington, VA 22204-2459 | 2020-10-28 |
| 1962002279 | Life Services &transportation Inc. | Non-emergency Medical Transport (VAN) | 2075 Mountain Road, Halifax, VA 24558 | 2020-10-27 |
| 1114527603 | Dependable Care Transportation LLC | Non-emergency Medical Transport (VAN) | 355 Pear Ridge Cir, Newport News, VA 23602-5260 | 2020-10-26 |
| 1811596448 | Mm&q Transportation Inc. | Non-emergency Medical Transport (VAN) | 6109 Belrun Ct, North Chesterfield, VA 23234-3403 | 2020-10-24 |
| 1407455033 | Pedro Berrios | Non-emergency Medical Transport (VAN) | 1305 Old Iron Rd, Hopewell, VA 23860-6601 | 2020-10-24 |
| 1407455074 | Medisist Inc. | Non-emergency Medical Transport (VAN) | 6001 Pleasant Pond Pl, Chesterfield, VA 23832-9210 | 2020-10-23 |
| 1568061133 | All Star Care Transportation | Non-emergency Medical Transport (VAN) | 2507 Pompey Springs Rd, Richmond, VA 23234-1331 | 2020-10-23 |
| 1336748144 | Tena Lin'neese Artise' | Non-emergency Medical Transport (VAN) | 1285 N King St Ste 5, Hampton, VA 23669-2233 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.