Healthcare Provider Details

I. General information

NPI: 1093324063
Provider Name (Legal Business Name): WELIFT RIDESHARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 TECHE ST
NEW ORLEANS LA
70114-5738
US

IV. Provider business mailing address

2532 WHIPPLETREE DR
HARVEY LA
70058-5001
US

V. Phone/Fax

Practice location:
  • Phone: 504-800-8005
  • Fax:
Mailing address:
  • Phone: 504-234-6417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. IRELL WARREN
Title or Position: CEO
Credential:
Phone: 504-234-6417