Organization
4EVERBLAZIN ENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INSHA ALSTON (OWNER)
(585) 353-4857
Entity
Organization
Contact information
Practice address
1443 E MAIN ST # A22, ROCHESTER, NY 14609-7003
(585) 353-4857
Mailing address
PO BOX 26333, ROCHESTER, NY 14626-0333
(585) 353-4857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
Other
Enumeration date
07/22/2026
Last updated
08/19/2026
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