Provider Demographics
NPI:1629840848
Name:CHANGING LIVES TRANSPORTATION SERVICE LLC.
Entity Type:Organization
Organization Name:CHANGING LIVES TRANSPORTATION SERVICE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-399-3148
Mailing Address - Street 1:10202 PERKINS ROWE STE E-160
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2067
Mailing Address - Country:US
Mailing Address - Phone:225-399-3148
Mailing Address - Fax:
Practice Address - Street 1:10202 PERKINS ROWE STE E-160
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2067
Practice Address - Country:US
Practice Address - Phone:225-399-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)