Active NPI
Premium Care Transportation LLP
- Non-emergency Medical Transport (VAN)
- Bastrop, LA
National Provider Identifier
1588319875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PREMIUM CARE TRANSPORTATION LLP
- Doing business as
- Premium Care Transportation LLP
- Practice address
- 5175 Halterman Rd
Bastrop, LA 71220-5678 - Phone
- (318) 282-2111
- NPI assigned
- Feb 16, 2022
- Last updated
- Mar 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deandre Tryman Lee
- Title
- Co-Owner
- Phone
- (318) 282-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
5175 Halterman Rd
Bastrop, LA 71220-5678
Mailing address
PO Box 72
Bastrop, LA 71221-0072
Phone (318) 282-2111
Other names 1
- Premium Care Transportation LLP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1588319875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "BASTROP",
"state": "LA",
"postal_code": "712210072",
"telephone_number": "318-282-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5175 HALTERMAN RD",
"city": "BASTROP",
"state": "LA",
"postal_code": "712205678",
"telephone_number": "318-282-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM CARE TRANSPORTATION LLP",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-16",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DEANDRE",
"authorized_official_middle_name": "TRYMAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "318-282-2111"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premium Care Transportation LLP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.