Healthcare Provider Details

I. General information

NPI: 1184230526
Provider Name (Legal Business Name): JOHNSON MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 SANDHILL CT
BATON ROUGE LA
70809-5925
US

IV. Provider business mailing address

10018 SANDHILL CT
BATON ROUGE LA
70809-5925
US

V. Phone/Fax

Practice location:
  • Phone: 225-810-0190
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MONICA JOHNSON
Title or Position: OWNER
Credential:
Phone: 225-810-0190