Ettaa Transportation of Louisiana LLC

Primary specialty

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

Legal business name

ETTAA TRANSPORTATION OF LOUISIANA LLC

Practice address

201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251

Phone

(512) 785-5716

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Eyob H Michael

Title

Ceo

Phone

(512) 785-5716

Specialties & licenses 1

Addresses

Other names 1

• Ettaa transportation of Louisiana LLC Doing business as

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1255940458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18808 HUNTINGTOWER CASTLE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607464",
            "telephone_number": "512-785-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083251",
            "telephone_number": "512-785-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTAA TRANSPORTATION OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "EYOB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-785-5716",
        "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": [
        {
            "organization_name": "Ettaa transportation of Louisiana LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Lafayette, LA
• Providers in Lafayette, 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 Jul 24, 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.