MEDICARE: CITY TOO CITY TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1184556607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY TOO CITY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	232 W 73RD ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-4202
Country	:	US
Telephone Number	:	318-540-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 W 73RD ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-4202
Country	:	US
Telephone Number	:	318-540-8985
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEO RAY POUNCY
Credential	:
Telephone Number	:	318-540-8985

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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