MEDICARE: MYST 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	:	1992637938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYST TRANSPORT LLC

Provider Business Mailing Address
First Line	:	8609 W FOREST HILL AVE
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8559
Country	:	US
Telephone Number	:	414-943-9097
Fax Number	:

Provider Business Practice Location Address
First Line	:	8609 W FOREST HILL AVE
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8559
Country	:	US
Telephone Number	:	414-943-9097
Fax Number	:

Authorized Official
Title or Position	:	OWNER PARTNER
Name	:	MS. TAYSIR SAID MUSTAFA SR.
Credential	:
Telephone Number	:	414-943-9097

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “MYST TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

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