Provider Demographics
NPI:1992151344
Name:RITA'S TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:RITA'S TRANSPORTATION SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLAIBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-250-9932
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:DARROW
Mailing Address - State:LA
Mailing Address - Zip Code:70725-0278
Mailing Address - Country:US
Mailing Address - Phone:225-253-2374
Mailing Address - Fax:
Practice Address - Street 1:4520 BROWN STREET
Practice Address - Street 2:
Practice Address - City:DARROW
Practice Address - State:LA
Practice Address - Zip Code:70725
Practice Address - Country:US
Practice Address - Phone:225-253-2374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2356178Medicaid