MEDICARE: CARLITAS WAY TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1306792650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLITAS WAY TRANSPORTATION

Provider Business Mailing Address
First Line	:	213 GRIMSBY ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-3812
Country	:	US
Telephone Number	:	337-591-2401
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 GRIMSBY ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-3812
Country	:	US
Telephone Number	:	337-591-2401
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAWANA ANN GEORGE
Credential	:
Telephone Number	:	337-591-2401

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “CARLITAS WAY TRANSPORTATION ” Practice Location

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