=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336646462
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANSIT EXPRESS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2018
-----------------------------------------------------
Last Update Date | 10/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1716 FRANKEL AVE
-----------------------------------------------------
City | METAIRIE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70003-5049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-853-8746
-----------------------------------------------------
Fax | 833-853-8746
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1716 FRANKEL AVE
-----------------------------------------------------
City | METAIRIE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70003-5049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-853-8746
-----------------------------------------------------
Fax | 833-853-8746
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SHANTELL MARIA COOPER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 833-853-8746
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------