Provider Demographics
NPI:1336914704
Name:COCO HEART 2 HEART TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:COCO HEART 2 HEART TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISSANTHIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THYMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-485-1039
Mailing Address - Street 1:1313 N GRACE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-2033
Mailing Address - Country:US
Mailing Address - Phone:337-485-1039
Mailing Address - Fax:
Practice Address - Street 1:1313 N GRACE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615-2033
Practice Address - Country:US
Practice Address - Phone:337-485-1039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)