Positive Change Transportation, LLC

Primary specialty

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

Legal business name

POSITIVE CHANGE TRANSPORTATION, LLC

Practice address

348 W 79TH St
Shreveport, LA 71106-4820

Phone

(318) 688-8192

Fax

(318) 688-8193

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Marty Tyrone Johnson Sr.

Title

Owner

Phone

(318) 779-8527

Specialties & licenses 1

Addresses

Tax ID family

Positive Change2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Positive Change

  • Community/Behavioral Health Agency
  • Shreveport, LA
  • NPI 1982079075
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethel Akindolie, LMSW

  • Social Worker
  • Shreveport, LA
  • NPI 1790158632
  NPD (past)
• Adriane Ross

  • Mental Health Counselor
  • Shreveport, LA
  • NPI 1467827543
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1760875959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 BUNCOMBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294305",
            "telephone_number": "318-688-8192",
            "fax_number": "318-688-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 W 79TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711064820",
            "telephone_number": "318-688-8192",
            "fax_number": "318-688-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-779-8527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dheeraj Kumar Posa, MD
• Felicia Ardell Posey
• Rodney J Posey, D.O.
• Positive Change
• Positive Change Counseling Agency
• Positive Transformation Mental Health Services
• Donald I Posner
• Tara Maleete Post, MCD, CCC-SLP
• Pooja Potharaju
• Benjamin Potter, ACNPC-AG

• 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 Mar 11, 2015; 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.