Credit Angel Transportation

Primary specialty

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

Legal business name

CREDIT ANGEL TRANSPORTATION

Practice address

236 BB LN
Stonewall, LA 71078-8346

Phone

(318) 990-1542

Fax

(855) 482-4447

NPI assigned

Jul 2, 2019

Last updated

Feb 6, 2020By 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

Shunta Hall

Title

Ceo

Phone

(318) 990-1542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1255993010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BB LN",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710788346",
            "telephone_number": "318-990-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BB LN",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710788346",
            "telephone_number": "318-990-1542",
            "fax_number": "855-482-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDIT ANGEL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHUNTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-990-1542"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christus Health Central Louisiana
• Tera Rachal Cooke, AGNP
• Council for Advancement of Social Service and Education (CASSE Community Health - Stonewall)
• Council for Advancement of Social Service and Education
• Brandon T Craig, DPT
• Emily Carol Ryan Cristler, PT
• D N L Outpatient Rehab, LLC
• Jennifer Dawn Davis, FNP-C
• Larry Davis
• Katherine Deporter

• Non-emergency Medical Transport (VAN) in Stonewall, LA
• Providers in Stonewall, 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 Feb 6, 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.