Provider Demographics
NPI:1043803463
Name:ALLCARE TRANSPORT GROUP LLC
Entity Type:Organization
Organization Name:ALLCARE TRANSPORT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-400-0063
Mailing Address - Street 1:16250 NORTHLAND DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5226
Mailing Address - Country:US
Mailing Address - Phone:248-782-5582
Mailing Address - Fax:
Practice Address - Street 1:17515 W 9 MILE RD STE 185
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4403
Practice Address - Country:US
Practice Address - Phone:313-400-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)