NPIMap

Organization Active NPI

Five Star Elite Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
National Provider Identifier
1053936450
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FIVE STAR ELITE TRANSPORTATION SERVICES LLC
Practice address
9051 Mansfield Rd Ste E3
Shreveport, LA 71118-2680
Phone
(318) 425-9086
Fax
(318) 716-3378
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Mr. Derrick Dwayne Black
Title
Owner/Ceo
Phone
(318) 455-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

9051 Mansfield Rd Ste E3
Shreveport, LA 71118-2680

Mailing address

9051 Mansfield Rd Ste E3
Shreveport, LA 71118-2680
Phone (318) 425-9086

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1053936450",
    "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": "318-425-9086",
            "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": "318-425-9086",
            "fax_number": "318-716-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ELITE TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "318-455-3433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.