Provider Demographics
NPI:1326813734
Name:HOME AWAY FROM HOME TRANSPORTATION
Entity Type:Organization
Organization Name:HOME AWAY FROM HOME TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-319-2483
Mailing Address - Street 1:430 COLES LDG
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2955
Mailing Address - Country:US
Mailing Address - Phone:504-319-2483
Mailing Address - Fax:
Practice Address - Street 1:4266 W MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6421
Practice Address - Country:US
Practice Address - Phone:504-319-2483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)