Organization Active NPI

Premium Care Transportation LLP

  • Non-emergency Medical Transport (VAN)
  • Bastrop, LA
National Provider Identifier
1588319875
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.