Provider Demographics
NPI:1609592104
Name:1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUGEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-774-7483
Mailing Address - Street 1:12704 BRUCE DR
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180-5301
Mailing Address - Country:US
Mailing Address - Phone:469-774-7483
Mailing Address - Fax:
Practice Address - Street 1:12704 BRUCE DR
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180-5301
Practice Address - Country:US
Practice Address - Phone:469-774-7483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1 CALL NON-EMERGENCY TRANSPORTATION SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty