Organization Active NPI

Empire Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Lake Charles, LA
National Provider Identifier
1366810467
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2387413 Issued in LA
Legal business name
EMPIRE MEDICAL TRANSPORTATION, LLC
Practice address
1320 Bridle Wood
Lake Charles, LA 70615-5357
Phone
(337) 433-5985
Fax
(337) 205-2715
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Mrs. Aerial Renee Castillo
Title
Manager
Phone
(337) 433-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 2387413 LA Primary

Addresses

Primary practice location

1320 Bridle Wood
Lake Charles, LA 70615-5357

Mailing address

PO Box 16227
Lake Charles, LA 70616-6227
Phone (337) 433-5985

Other identifiers 1

IdentifierTypeStateIssuer
2387413OtherLAMOLINA MEDICAID PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1366810467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16227",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706166227",
            "telephone_number": "337-433-5985",
            "fax_number": "337-205-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BRIDLE WOOD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155357",
            "telephone_number": "337-433-5985",
            "fax_number": "337-205-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "AERIAL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-433-5985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "2387413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MEDICAID PROVIDER NUMBER",
            "identifier": "2387413",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.