Provider Demographics
NPI:1518487768
Name:CLOUD TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CLOUD TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIDAL
Authorized Official - Middle Name:ABDALHAFEZ
Authorized Official - Last Name:ABUALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-616-1478
Mailing Address - Street 1:423 EAST ELLERSLIE AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834
Mailing Address - Country:US
Mailing Address - Phone:804-898-0650
Mailing Address - Fax:804-451-0819
Practice Address - Street 1:423 E ELLERSLIE AVE
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1469
Practice Address - Country:US
Practice Address - Phone:804-898-0650
Practice Address - Fax:804-451-0819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA559343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)