Healthcare Provider Details

I. General information

NPI: 1710622188
Provider Name (Legal Business Name): THE TRANSPORTER AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2022
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 BRADLEY ROAD 374
BANKS AR
71631-8701
US

IV. Provider business mailing address

156 BRADLEY ROAD 374
BANKS AR
71631-8701
US

V. Phone/Fax

Practice location:
  • Phone: 501-683-8963
  • Fax:
Mailing address:
  • Phone: 501-683-8963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: VIKITA STRONG
Title or Position: INCORPORATOR/ORGANIZER
Credential:
Phone: 501-683-8963