MEDICARE: HI-QUALITY TRANSPORT 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	:	1437861739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HI-QUALITY TRANSPORT LLC

Provider Business Mailing Address
First Line	:	300 SAINT JAMES PL APT 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2757
Country	:	US
Telephone Number	:	347-307-5010
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 SAINT JAMES PL APT 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2757
Country	:	US
Telephone Number	:	347-307-5010
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DAVID JAVONEE ALLEN
Credential	:
Telephone Number	:	347-307-5010

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	12/19/2022

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