MEDICARE: ALPHA PROWL 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	:	1649103250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA PROWL LLC

Provider Business Mailing Address
First Line	:	829 HECTOR LN
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-2620
Country	:	US
Telephone Number	:	402-276-4868
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 HECTOR LN
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33974-2620
Country	:	US
Telephone Number	:	402-276-4868
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AILED HECTOR
Credential	:
Telephone Number	:	402-276-4868

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ALPHA PROWL LLC ” Practice Location

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