Provider Demographics
NPI:1043453087
Name:PROSPERITY TRANSIT SERVICES INC.
Entity Type:Organization
Organization Name:PROSPERITY TRANSIT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-275-4124
Mailing Address - Street 1:12316 CATALINA AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7515
Mailing Address - Country:US
Mailing Address - Phone:225-275-4124
Mailing Address - Fax:225-612-5926
Practice Address - Street 1:12316 CATALINA AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7515
Practice Address - Country:US
Practice Address - Phone:225-275-4124
Practice Address - Fax:225-612-5926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1191001Medicaid