Provider Demographics
NPI:1750047858
Name:SECURE PATIENT DELIVERY OF MONROE, LLC
Entity Type:Organization
Organization Name:SECURE PATIENT DELIVERY OF MONROE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROTEM
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-258-2335
Mailing Address - Street 1:4650 W ESPLANADE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2765
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 CENTURY VILLAGE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2008
Practice Address - Country:US
Practice Address - Phone:337-443-4830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SECURE PATIENT DELIVERY SHUTTLE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)