Provider Demographics
NPI:1568956654
Name:GOLDEN CHARIOT TRANSPORT, LLC
Entity Type:Organization
Organization Name:GOLDEN CHARIOT TRANSPORT, LLC
Other - Org Name:GOLDEN CHARIOT TRANSPORT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-520-1004
Mailing Address - Street 1:7610 PINERIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-3316
Mailing Address - Country:US
Mailing Address - Phone:832-520-1004
Mailing Address - Fax:832-520-1004
Practice Address - Street 1:608 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:LA
Practice Address - Zip Code:70392
Practice Address - Country:US
Practice Address - Phone:832-520-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)