Provider Demographics
NPI:1497112148
Name:FARRELL'S TRANSPORTATION AND HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:FARRELL'S TRANSPORTATION AND HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPN
Authorized Official - Phone:504-224-0743
Mailing Address - Street 1:1521 SPANISH OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3056
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1521 SPANISH OAKS DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3056
Practice Address - Country:US
Practice Address - Phone:504-224-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4663050343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)