Provider Demographics
NPI:1871185488
Name:ABUNDANCE CARE TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:ABUNDANCE CARE TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNEI
Authorized Official - Middle Name:KORVETTA
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-382-2624
Mailing Address - Street 1:3602 AMITE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-6358
Mailing Address - Country:US
Mailing Address - Phone:318-382-2624
Mailing Address - Fax:
Practice Address - Street 1:3602 AMITE RIVER DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-6358
Practice Address - Country:US
Practice Address - Phone:318-382-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1002Medicaid