MEDICARE: HERO SHUTTLE 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	:	1871488171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERO SHUTTLE LLC

Provider Business Mailing Address
First Line	:	7147 POLO DOWNS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-4483
Country	:	US
Telephone Number	:	210-956-0610
Fax Number	:

Provider Business Practice Location Address
First Line	:	7147 POLO DOWNS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-4483
Country	:	US
Telephone Number	:	210-956-0610
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	QUSAY HAITHAM ALZUBAIDY
Credential	:	OWNER
Telephone Number	:	210-956-0610

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	06/09/2025

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