Provider Demographics
NPI:1770469736
Name:SOUTHERN CONCIERGE TRANSPORT LLC
Entity type:Organization
Organization Name:SOUTHERN CONCIERGE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JELKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-865-0254
Mailing Address - Street 1:1103 LYNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-5631
Mailing Address - Country:US
Mailing Address - Phone:713-865-0254
Mailing Address - Fax:
Practice Address - Street 1:611 WESTRIDGE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2844
Practice Address - Country:US
Practice Address - Phone:713-865-0254
Practice Address - Fax:866-434-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle