Healthcare Provider Details

I. General information

NPI: 1194562843
Provider Name (Legal Business Name): LIFTED JOURNEYS TRANSIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 08/24/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 ABDALLA BLVD
OPELOUSAS LA
70570-5867
US

IV. Provider business mailing address

933 ABDALLA BLVD
OPELOUSAS LA
70570-5867
US

V. Phone/Fax

Practice location:
  • Phone: 337-308-4574
  • Fax:
Mailing address:
  • Phone: 337-308-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JAMARA JENKINS
Title or Position: OWNER
Credential:
Phone: 337-308-4711