CLEVELAND MARK AUZENNE JR. (NPI# 1215544218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215544218 |
| Entity Type | Individual |
| Full Name | CLEVELAND MARK AUZENNE JR. |
| Practice Address |
210 Polly Ln Apt 227 Lafayette LA 70508-4981 |
| Practice Telephone | 3187513473 |
| Mailing Telephone | 3187513473 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 007387640 | LA | Transportation Services |
| Street Address |
210 POLLY LN APT 227 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318697 | Tdt Carriers, LLC. | Non-emergency Medical Transport (VAN) | 315 Amesbury Dr Apt 167, Lafayette, LA 70507-3543 | 2020-05-27 |
| 1871121913 | Dugar & Garrett LLC | Non-emergency Medical Transport (VAN) | 144 Southfield Pkwy, Lafayette, LA 70506-7627 | 2020-04-01 |
| 1245892389 | Stay Ready Consulting | Non-emergency Medical Transport (VAN) | 213 E Willow St, Lafayette, LA 70501-3657 | 2019-06-28 |
| 1225506652 | Michael Todd Mitchell | Non-emergency Medical Transport (VAN) | 417 Dunvegan Ct, Lafayette, LA 70503-6089 | 2018-11-03 |
| 1255871190 | Rehoboth Ventures LLC, Medical Transportation | Non-emergency Medical Transport (VAN) | 306 Wind Haven Ln, Lafayette, LA 70506-4931 | 2017-02-25 |
| 1093167512 | P&m Medical Transportation, LLC | Non-emergency Medical Transport (VAN) | 401 Audubon Blvd Ste 206c, Lafayette, LA 70503-2676 | 2016-07-08 |
| 1265800361 | Lifted Lives, LLC | Non-emergency Medical Transport (VAN) | 111 Windmill Ln, Lafayette, LA 70501-1753 | 2015-09-04 |
| 1992114060 | Going Places LLC | Non-emergency Medical Transport (VAN) | 305 Winsor Dr, Lafayette, LA 70507-5665 | 2014-08-04 |
| 1740533058 | Midcity Transportation LLC | Non-emergency Medical Transport (VAN) | 806 Saint John St, Lafayette, LA 70501-6708 | 2012-10-24 |
| 1710237227 | Where To | Non-emergency Medical Transport (VAN) | 976 Mezzanine Dr, Suite A, Lafayette, IN 47905-8633 | 2012-09-12 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.