Provider Demographics
NPI:1821839499
Name:APOLLO22, LLC
Entity type:Organization
Organization Name:APOLLO22, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TUSMO
Authorized Official - Middle Name:
Authorized Official - Last Name:GULEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-797-3983
Mailing Address - Street 1:3600 SULLIVANT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-2122
Mailing Address - Country:US
Mailing Address - Phone:614-797-3983
Mailing Address - Fax:
Practice Address - Street 1:3600 SULLIVANT AVE STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-2122
Practice Address - Country:US
Practice Address - Phone:614-797-3983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APOLLO22, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No347C00000XTransportation ServicesPrivate Vehicle