Provider Demographics
NPI:1053068072
Name:OMEGA TRAVELS LLC
Entity Type:Organization
Organization Name:OMEGA TRAVELS LLC
Other - Org Name:OMEGA TRAVELS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-228-7497
Mailing Address - Street 1:711 E ASCENSION ST
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-3028
Mailing Address - Country:US
Mailing Address - Phone:225-228-7497
Mailing Address - Fax:225-243-9757
Practice Address - Street 1:37313 HIGHWAY 74 TRLR 101
Practice Address - Street 2:
Practice Address - City:GEISMAR
Practice Address - State:LA
Practice Address - Zip Code:70734-3225
Practice Address - Country:US
Practice Address - Phone:225-228-7497
Practice Address - Fax:225-243-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)