Restore Outreach Transportation, LLC

Primary specialty

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

Legal business name

RESTORE OUTREACH TRANSPORTATION, LLC

Practice address

4315 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9661

Phone

(225) 223-6968

Fax

(225) 442-1396

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By 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

Mrs. Lawana Jackson Mabry, LCSWNPI 1255749487

Title

Co-Owner

Phone

(225) 223-6968

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawana Jackson Mabry, LCSW-BACS

  • Clinical Social Worker
  • Greenwell Springs, LA
  • NPI 1255749487
  NPD Authorized official

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1528527249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099661",
            "telephone_number": "225-223-6968",
            "fax_number": "225-442-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099661",
            "telephone_number": "225-223-6968",
            "fax_number": "225-442-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE OUTREACH TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "LAWANA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "225-223-6968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 13, 2019; 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.