Provider Demographics
NPI:1053806935
Name:EMPIRE NOLA TRANSPORTATION LLC
Entity type:Organization
Organization Name:EMPIRE NOLA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-427-8901
Mailing Address - Street 1:7041 CANAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3454
Mailing Address - Country:US
Mailing Address - Phone:504-427-8901
Mailing Address - Fax:888-242-2550
Practice Address - Street 1:7041 CANAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3454
Practice Address - Country:US
Practice Address - Phone:504-427-8901
Practice Address - Fax:888-242-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-24
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)