MEDICARE: BLAIZIN' TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency
4	343800000X	Secured Medical Transport (VAN)
5	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1730846627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLAIZIN' TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1303 BALSAM AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70807-2901
Country	:	US
Telephone Number	:	225-715-9744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 BALSAM AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70807-2901
Country	:	US
Telephone Number	:	225-715-9744
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	CHERYEL MONTGOMERY
Credential	:
Telephone Number	:	225-715-9744

Provider Enumeration Date	:	11/26/2021
Last Update Date	:	03/04/2026

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