MEDICARE: KEEP 'EM ROLLING 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	:	1629782545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEEP 'EM ROLLING LLC

Provider Business Mailing Address
First Line	:	4108 FOREST OAK DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71109-8320
Country	:	US
Telephone Number	:	318-453-2855
Fax Number	:

Provider Business Practice Location Address
First Line	:	4108 FOREST OAK DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71109-8320
Country	:	US
Telephone Number	:	318-453-2855
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE LATOYA RAY
Credential	:
Telephone Number	:	318-453-2855

Provider Enumeration Date	:	01/06/2023
Last Update Date	:	06/09/2026

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