MEDICARE: A & A TRANSIT 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	:	1457723009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A TRANSIT LLC

Provider Business Mailing Address
First Line	:	7106 W 23RD STREET
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55426
Country	:	US
Telephone Number	:	612-227-3895
Fax Number	:

Provider Business Practice Location Address
First Line	:	7106 W 23RD STREET
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55426
Country	:	US
Telephone Number	:	612-227-3895
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDULKHAFAR JEILANI ABUKAR
Credential	:
Telephone Number	:	612-227-3895

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	12/04/2015

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Directions to “A & A TRANSIT LLC ” Practice Location

Language	Start Address	Practice Location

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