Provider Demographics
NPI:1376096883
Name:ALL COUNTIES TRANSPORT
Entity Type:Organization
Organization Name:ALL COUNTIES TRANSPORT
Other - Org Name:NO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAHARDIDID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:SAHARDID
Authorized Official - Phone:612-222-0421
Mailing Address - Street 1:803 JAVA AVE APT 11
Mailing Address - Street 2:SUITE# 11
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-0926
Mailing Address - Country:US
Mailing Address - Phone:612-222-0421
Mailing Address - Fax:
Practice Address - Street 1:803 JAVA AVE APT 11
Practice Address - Street 2:SUITE# 11
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-0926
Practice Address - Country:US
Practice Address - Phone:612-222-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAALLCOUNTIES1343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)