Medilyft Transportation LLC

Primary specialty

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

Legal business name

MEDILYFT TRANSPORTATION LLC

Practice address

2960 Poland St
Shreveport, LA 71103-2152

Phone

(318) 207-9883

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By 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

Innis Addison

Title

Owner

Phone

(318) 207-9883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1639906951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 POLAND ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032152",
            "telephone_number": "318-207-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 POLAND ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711032152",
            "telephone_number": "318-207-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILYFT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "INNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-207-9883"
    },
    "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 Shreveport, LA
• Providers in Shreveport, 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 Sep 19, 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.