Healthcare Provider Details

I. General information

NPI: 1831056852
Provider Name (Legal Business Name): BASILGO.LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CONCORDE WAY UNIT B4
WINDSOR LOCKS CT
06096-1583
US

IV. Provider business mailing address

6 CONCORDE WAY UNIT B4
WINDSOR LOCKS CT
06096-1583
US

V. Phone/Fax

Practice location:
  • Phone: 860-816-5333
  • Fax:
Mailing address:
  • Phone: 860-816-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. BASIL QASSEM ALOMARI
Title or Position: OWNER
Credential:
Phone: 860-816-5333