MEDICARE: ACCELERATED TRANSPORTATION LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1558820969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCELERATED TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5159 OAKLAWN PARK DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-8821
Country	:	US
Telephone Number	:	318-888-2783
Fax Number	:

Provider Business Practice Location Address
First Line	:	5159 OAKLAWN PARK DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-8821
Country	:	US
Telephone Number	:	318-888-2783
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TERRANCE JAMES SIMMONS
Credential	:	OWNER
Telephone Number	:	318-888-2783

Provider Enumeration Date	:	03/15/2019
Last Update Date	:	01/16/2026

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