Genesis Mortuary Transport LLC

Primary specialty

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

Legal business name

GENESIS MORTUARY TRANSPORT LLC

Practice address

1285 W Hawthorne Rd
Leesville, LA 71446-6052

Phone

(903) 243-3883

NPI assigned

Jul 31, 2024

Organization subpart

Yes

Parent organization

GENESIS MORTUARY TRANSPORTAs reported in NPPES

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

Authorized official

Name

Timothy K YatesNPI 1902643182

Title

Owner/Manager

Phone

(903) 243-3883

Specialties & licenses 1

Addresses

Other names 1

• Genesis Transport Doing business as

Part of

Genesis Mortuary Transport LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Kevin Yates

  • Driver
  • Leesville, LA
  • NPI 1902643182
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1497584023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 W HAWTHORNE RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714466052",
            "telephone_number": "903-243-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 W HAWTHORNE RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714466052",
            "telephone_number": "903-243-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MORTUARY TRANSPORT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS MORTUARY TRANSPORT",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "903-243-3883"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaddis Medical & Aesthetics, LLC
• Matthew Skrable Ganey, DDS
• Rachael Garrison, PA-C
• Ana Sofia Garza
• Cathryn Lea Gaur, M.A. CCC-SLP
• Guru Prasad Ghanta, M.D.
• Supriya Ghanta, MD
• Khaled Mustafa Ghorab, MD
• Jo Ann S Gibbs, PHARM.D.
• Victoria Gillick

• Non-emergency Medical Transport (VAN) in Leesville, LA
• Providers in Leesville, 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 31, 2024; 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.