Dominique Tenna Brown

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Violet, LA

NPI 1720609787 · NPPES record last updated Apr 30, 2020

Key facts

NPI
1720609787
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
2912 Guerra Dr
Violet, LA 70092-2935
Phone
(504) 914-3189
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
B&H Expansion LLC Non-Emergency Medical Transport (Van) Current
since Jun 28, 2020
Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

2912 Guerra Dr
Violet, LA 70092-2935

Mailing address

2912 Guerra Dr
Violet, LA 70092-2935
Phone (504) 914-3189

Other providers in Violet, LA

All providers in Violet, LA · Non-emergency Medical Transport (VAN) in Louisiana

Sources for this page

Verify at the official NPI Registry.