Organization Active NPI

A Lift to Wellness Transportation LLC

  • Private Vehicle
  • Shreveport, LA
National Provider Identifier
1982212486
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
A LIFT TO WELLNESS TRANSPORTATION LLC
Practice address
9208 Kingston Rd
Shreveport, LA 71118-3517
Phone
(318) 453-7484
NPI assigned
Jul 21, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Jacqueline Carr
Title
Owner
Phone
(318) 453-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

9208 Kingston Rd
Shreveport, LA 71118-3517

Mailing address

9208 Kingston Rd
Shreveport, LA 71118-3517
Phone (318) 453-7484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1982212486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 KINGSTON RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183517",
            "telephone_number": "318-453-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 KINGSTON RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183517",
            "telephone_number": "318-453-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFT TO WELLNESS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-453-7484"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.