Organization Active NPI

Southern Care Transportation

  • Non-emergency Medical Transport (VAN)
  • Bogalusa, LA
National Provider Identifier
1639548712
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SOUTHERN CARE TRANSPORTATION
Practice address
30126 Marcus Rd
Bogalusa, LA 70463-0776
Phone
(950) 590-2449
Fax
(985) 886-5544
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Donald Amel Butler, LBSW/ BBA
Title
President-Ceo
Phone
(985) 590-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LA Primary

Addresses

Primary practice location

30126 Marcus Rd
Bogalusa, LA 70463-0776

Mailing address

PO Box 776
Sun, LA 70463-0776
Phone (950) 590-2449

Other identifiers 1

IdentifierTypeStateIssuer
2191721MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639548712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "SUN",
            "state": "LA",
            "postal_code": "704630776",
            "telephone_number": "950-590-2449",
            "fax_number": "985-886-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30126 MARCUS RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704630776",
            "telephone_number": "950-590-2449",
            "fax_number": "985-886-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "AMEL",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "985-590-2449",
        "authorized_official_credential": "LBSW/ BBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.