Provider Demographics
NPI:1437491883
Name:MERLIV HOLDINGS, LLC
Entity Type:Organization
Organization Name:MERLIV HOLDINGS, LLC
Other - Org Name:MERLIV EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-394-2505
Mailing Address - Street 1:3451 FAIRWAY COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7668
Mailing Address - Country:US
Mailing Address - Phone:614-394-2505
Mailing Address - Fax:614-319-6125
Practice Address - Street 1:3451 FAIRWAY COMMONS DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7668
Practice Address - Country:US
Practice Address - Phone:614-394-2505
Practice Address - Fax:614-319-6125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHFTX9251343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)