Selfmade Transportation Service, LLC

Primary specialty

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

Legal business name

SELFMADE TRANSPORTATION SERVICE, LLC

Practice address

750 E I 10 Service Rd Ste G
Slidell, LA 70461-5535

Phone

(985) 326-3495

Fax

(985) 326-6513

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tawan Sekou JordanNPI 1245718550

Title

Owner

Phone

(504) 228-7836

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tawan Jordan

  • Driver
  • Slidell, LA
  • NPI 1245718550
  NPD (past) Authorized official

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1225511850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E I 10 SERVICE RD STE G",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615535",
            "telephone_number": "985-326-3495",
            "fax_number": "985-326-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E I 10 SERVICE RD STE G",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615535",
            "telephone_number": "985-326-3495",
            "fax_number": "985-326-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFMADE TRANSPORTATION SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TAWAN",
        "authorized_official_middle_name": "SEKOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-228-7836"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marielisa S Sedrish, MD, FACR
• Phillip Paul Sedrish, MD, FACR
• Caroline C Segura, NP
• Keith L Sehon, O.D.
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Janet Seligson-Dowie, M.D.
• Francesca Sendra, LMSW
• Brittany Serpas, PLPC
• Michelle Serpas, M.D.
• Cassandra Serralta

• Non-emergency Medical Transport (VAN) in Slidell, LA
• Providers in Slidell, 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 Sep 10, 2018; 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.