Provider Demographics
NPI:1164788063
Name:DEPENDABLE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:DEPENDABLE TRANSPORTATION SERVICES LLC
Other - Org Name:DEPENDABLE TRANSPORTATION SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VOLTON
Authorized Official - Middle Name:C
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-906-8012
Mailing Address - Street 1:4273 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-1402
Mailing Address - Country:US
Mailing Address - Phone:225-906-8012
Mailing Address - Fax:225-231-2445
Practice Address - Street 1:4273 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802
Practice Address - Country:US
Practice Address - Phone:225-906-8012
Practice Address - Fax:225-231-2445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEPENDABLE TRANSPORTATION SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA005322267343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)