MEDICARE: ALLSTATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1033930342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLSTATES LLC

Provider Business Mailing Address
First Line	:	271 W SHORT ST STE 410
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40507-1213
Country	:	US
Telephone Number	:	954-701-5254
Fax Number	:

Provider Business Practice Location Address
First Line	:	529 BARKER CLODINE RD APT 7103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-1454
Country	:	US
Telephone Number	:	832-504-8232
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOUSTAFA BADAWY
Credential	:
Telephone Number	:	954-701-5254

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	10/18/2024

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Directions to “ALLSTATES LLC ” Practice Location

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