Provider Demographics
NPI:1033886999
Name:ADDE TRANSPORT LLC
Entity Type:Organization
Organization Name:ADDE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSTAF
Authorized Official - Middle Name:SUFI
Authorized Official - Last Name:ADDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-730-5025
Mailing Address - Street 1:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91946-0663
Mailing Address - Country:US
Mailing Address - Phone:619-730-5025
Mailing Address - Fax:
Practice Address - Street 1:5040 KEENEY ST APT 40
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-7459
Practice Address - Country:US
Practice Address - Phone:619-730-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)