OrganizationFive Star Elite Transportation Services LlcNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680(318) 425-9086PECOS EnrollmentBased on the most recent information from CMS, provider Five Star Elite Transportation Services 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 ID1053936450Provider TypeOrganizationFull NameFive Star Elite Transportation Services LlcSubpartNoEnumeration Date6/11/2020Last Updated6/11/2020Contact InformationPractice LocationPractice Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680Phone(318) 425-9086Fax(318) 716-3378Mailing LocationMailing Address9051 Mansfield Rd Ste E3, Shreveport, LA 71118-2680Phone(318) 425-9086Fax(318) 716-3378Authorized OfficialNameBlack, Derrick Dwayne (Owner/Ceo)Phone(318) 455-3433Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer