Healthcare Provider Details

I. General information

NPI: 1073449476
Provider Name (Legal Business Name): BRIGHTWAY TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HERLIL CIR
CARENCRO LA
70520-5517
US

IV. Provider business mailing address

200 HERLIL CIR
CARENCRO LA
70520-5517
US

V. Phone/Fax

Practice location:
  • Phone: 337-254-7947
  • Fax:
Mailing address:
  • Phone: 337-254-7947
  • 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: OLYMPIA MCKENNIE
Title or Position: OWNER
Credential:
Phone: 337-254-7947