Provider Demographics
NPI:1033235965
Name:ESPLANADE ENTERPRISES INC
Entity Type:Organization
Organization Name:ESPLANADE ENTERPRISES INC
Other - Org Name:MERIT MEDI-TRANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-893-8690
Mailing Address - Street 1:1355 E. EATON RD.
Mailing Address - Street 2:STE. A
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7617
Mailing Address - Country:US
Mailing Address - Phone:530-893-8690
Mailing Address - Fax:530-893-5482
Practice Address - Street 1:1355 E. EATON RD.
Practice Address - Street 2:STE. A
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7617
Practice Address - Country:US
Practice Address - Phone:530-893-8690
Practice Address - Fax:530-893-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN00061G343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN00061GMedicaid