MEDICARE: LEGIONS 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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1689513871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGIONS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2830 LOUISIANA AVE APT 40
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 LOUISIANA AVE APT 40
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1372
Country	:	US
Telephone Number	:	337-315-9950
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANELL JIMERSON
Credential	:
Telephone Number	:	337-315-9950

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “LEGIONS TRANSPORTATION LLC ” Practice Location

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