MEDICARE: SUPPORT THE HUSTLE 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	:	1013417468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPPORT THE HUSTLE LLC

Provider Business Mailing Address
First Line	:	3700 CALIFORNIA AVE FL 2
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 CALIFORNIA AVE FL 2
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3814
Country	:	US
Telephone Number	:	314-255-5648
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHELL HENRY AKINS
Credential	:
Telephone Number	:	314-255-5648

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/12/2018

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Directions to “SUPPORT THE HUSTLE LLC ” Practice Location

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