Provider Demographics
NPI:1417641440
Name:ALLEN & RILEY HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ALLEN & RILEY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-313-0658
Mailing Address - Street 1:201 E JOLLIET CT
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-7155
Mailing Address - Country:US
Mailing Address - Phone:985-359-4046
Mailing Address - Fax:985-359-4047
Practice Address - Street 1:201 E JOLLIET CT
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-7155
Practice Address - Country:US
Practice Address - Phone:985-359-4046
Practice Address - Fax:985-359-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)