Healthcare Provider Details

I. General information

NPI: 1912811522
Provider Name (Legal Business Name): INTEGRITY MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63023 COMMERCIAL ST
ROSELAND LA
70456-3616
US

IV. Provider business mailing address

63023 COMMERCIAL ST
ROSELAND LA
70456-3616
US

V. Phone/Fax

Practice location:
  • Phone: 985-474-5360
  • Fax: 985-247-2254
Mailing address:
  • Phone: 985-474-5360
  • Fax: 985-247-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: REGINA RENEE NICHOLES
Title or Position: OWNER
Credential: LPN
Phone: 985-474-5360