Healthcare Provider Details

I. General information

NPI: 1821922568
Provider Name (Legal Business Name): LEGIONS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 LOUISIANA AVE APT 40
LAFAYETTE LA
70501-1372
US

IV. Provider business mailing address

PO BOX 91554
LAFAYETTE LA
70509-1554
US

V. Phone/Fax

Practice location:
  • Phone: 337-315-9950
  • 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: CHANELL JIMERSON
Title or Position: OWNER
Credential:
Phone: 337-315-9950