Provider Demographics
NPI:1245807841
Name:KAPTIVATING TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:KAPTIVATING TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANEISHA
Authorized Official - Middle Name:RASHAWN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-442-4818
Mailing Address - Street 1:9111 INTERLINE AVE STE 8A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1979
Mailing Address - Country:US
Mailing Address - Phone:225-442-4818
Mailing Address - Fax:
Practice Address - Street 1:9111 INTERLINE AVE STE 8A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1979
Practice Address - Country:US
Practice Address - Phone:225-442-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)