A Lift to Wellness Transportation LLC

Key facts

NPI

1982212486

Entity type

Organization (NPI type 2)

Primary specialty

Private Vehicle 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

Organization subpart

No

Authorized official

Name

Jacqueline Carr

Title

Owner

Phone

(318) 453-7484

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2020.

{
    "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": []
}

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