=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356237184
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMUTE SAFER MEDI TRANS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2025
-----------------------------------------------------
Last Update Date | 06/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9674 JONES VAUGHN CREEK RD
-----------------------------------------------------
City | SAINT FRANCISVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70775-7121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-999-8408
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9674 JONES VAUGHN CREEK RD
-----------------------------------------------------
City | SAINT FRANCISVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70775-7121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | KEYANA FORD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 225-999-8408
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------