MEDICARE: HHSC TRANSPORTATION MOBILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	347C00000X	Private Vehicle
3	347E00000X	Transportation Broker
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1811695315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HHSC TRANSPORTATION MOBILITY LLC

Provider Business Mailing Address
First Line	:	5006 TROUBLE CREEK RD STE 228
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4965
Country	:	US
Telephone Number	:	866-521-7606
Fax Number	:	866-521-7606

Provider Business Practice Location Address
First Line	:	5006 TROUBLE CREEK RD STE 206
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4922
Country	:	US
Telephone Number	:	866-521-7606
Fax Number	:	866-521-7606

Authorized Official
Title or Position	:	ADMIN
Name	:	MANISHA MATTEI
Credential	:
Telephone Number	:	866-521-7606

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	02/23/2023

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