Provider Demographics
NPI:1215597885
Name:ROUND TRIPS LLC
Entity Type:Organization
Organization Name:ROUND TRIPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:SELVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-439-2532
Mailing Address - Street 1:3020 GARNET DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-7140
Mailing Address - Country:US
Mailing Address - Phone:225-439-2532
Mailing Address - Fax:
Practice Address - Street 1:3020 GARNET DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-7140
Practice Address - Country:US
Practice Address - Phone:225-439-2532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)