MEDICARE: PROSPERITY ONE CALL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	343800000X	Secured Medical Transport (VAN)
3	347C00000X	Private Vehicle
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1780327171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSPERITY ONE CALL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	510 SHADY LN LOT E4
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-5599
Country	:	US
Telephone Number	:	832-713-3554
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 SHADY LN LOT E4
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-5599
Country	:	US
Telephone Number	:	832-713-3554
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LYNETTE CONNER
Credential	:
Telephone Number	:	409-202-1537

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	03/02/2026

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Directions to “PROSPERITY ONE CALL TRANSPORTATION LLC ” Practice Location

Language	Start Address	Practice Location

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