Fset LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FSET LLC

Doing business as

Five Star Elite Transportation LLC

Practice address

9051 Mansfield Rd Ste E3
Shreveport, LA 71118-2680

Phone

(318) 701-8216

Fax

(318) 716-3378

NPI assigned

Oct 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Derrick Dwayne Black

Title

Ceo/Owner

Phone

(318) 505-9505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Five Star Elite Transportation LLC Doing business as

Tax ID family

Five Star Elite Transportation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Five Star Elite Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
  • NPI 1053936450
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1033752993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 MANSFIELD RD STE E3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182680",
            "telephone_number": "318-505-9505",
            "fax_number": "318-716-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 MANSFIELD RD STE E3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182680",
            "telephone_number": "318-701-8216",
            "fax_number": "318-716-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "318-505-9505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053817163",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Elite Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Michelle Fronterhouse
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• Ashley Froust
• Suzanne Matlock Frye, FNP-C
• David Fucinari, DO
• Hannah Fucinari, DO
• Kyla G Fulco, PHARM D
• Nicholas R Fulco, DPT
• Fuller Premier Transportation LLC

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.