Provider Demographics
NPI:1417466954
Name:IBCE TRANSIT LLC
Entity Type:Organization
Organization Name:IBCE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-228-4800
Mailing Address - Street 1:9508 LAUREL OAK LANE
Mailing Address - Street 2:
Mailing Address - City:WAGGAMAN
Mailing Address - State:LA
Mailing Address - Zip Code:70094
Mailing Address - Country:US
Mailing Address - Phone:504-228-4800
Mailing Address - Fax:
Practice Address - Street 1:9508 LAUREL OAK LN
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-3174
Practice Address - Country:US
Practice Address - Phone:504-228-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)