OrganizationFset Llc(<Unavail>)Non-emergency Medical Transport (VAN)Transportation ServicesPractice Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680(318) 701-8216(318) 505-9505PECOS EnrollmentBased on the most recent information from CMS, provider Fset Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033752993Provider TypeOrganizationFull NameFset LlcOther Name<Unavail>SubpartNoEnumeration Date10/23/2019Last Updated6/3/2020Contact InformationPractice LocationPractice Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680Phone(318) 701-8216Fax(318) 716-3378Mailing LocationMailing Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680Phone(318) 505-9505Fax(318) 716-3378Authorized OfficialNameBlack, Derrick Dwayne (Ceo/Owner)Phone(318) 505-9505Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1053817163DescriptionMedicaidIssuerUnlistedLouisiana