Provider Demographics
NPI:1558820969
Name:ACCELERATED TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ACCELERATED TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:318-888-2783
Mailing Address - Street 1:4854 BIRDIE LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71107-3407
Mailing Address - Country:US
Mailing Address - Phone:318-888-2783
Mailing Address - Fax:
Practice Address - Street 1:4854 BIRDIE LN
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-3407
Practice Address - Country:US
Practice Address - Phone:318-813-9134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)