Provider Demographics
NPI:1457642464
Name:PUNCTUAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:PUNCTUAL TRANSPORTATION, LLC
Other - Org Name:PUNCTUAL TRANSPORTATION, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:504-939-9660
Mailing Address - Street 1:1841 MANDEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-8135
Mailing Address - Country:US
Mailing Address - Phone:504-939-9660
Mailing Address - Fax:504-947-5279
Practice Address - Street 1:1841 MANDEVILLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-8135
Practice Address - Country:US
Practice Address - Phone:504-939-9660
Practice Address - Fax:504-947-5279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA186393343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2109448Medicaid