Domino Enterprises LLC

Primary specialty

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

Legal business name

DOMINO ENTERPRISES LLC

Practice address

5150 Antioch Blvd
Baton Rouge, LA 70817-2333

Phone

(225) 803-8903

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Heather Domino

Title

Owner

Phone

(225) 806-7520

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1396385183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 ANTIOCH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172333",
            "telephone_number": "225-803-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 ANTIOCH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172333",
            "telephone_number": "225-803-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINO ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "DOMINO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-806-7520"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dominotransportllc@gmail.com",
            "affiliation": "N",
            "address_1": "5150 Antioch Blvd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708172333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Domingue, RDN
• Kendric Dominick
• Kimberly Dominick
• Tarijah Dominick
• Misty Dominique
• Aggie Domino, RD,LDN
• Bridget Ann Domino
• Mariah Sharelle Domino, B.S. M.A.
• Carla Domio
• Leslie Simoneaux Domma, AU.D.

• Non-emergency Medical Transport (VAN) in Baton Rouge, LA
• Providers in Baton Rouge, 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 Jan 27, 2025; 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.