Healthcare Provider Details

I. General information

NPI: 1922749316
Provider Name (Legal Business Name): GREENWOOD TRANS AND SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 VETERANS MEMORIAL BLVD SUITE 305 SUITE 302
KENNER LA
70062-7006
US

IV. Provider business mailing address

528 FOXWOOD LN
LA PLACE LA
70068-8100
US

V. Phone/Fax

Practice location:
  • Phone: 504-344-4854
  • Fax:
Mailing address:
  • Phone: 504-344-4854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARLES R GREENWOOD
Title or Position: CEO
Credential:
Phone: 504-261-3503