Provider Demographics
NPI:1245927813
Name:MERAKI TRANSPORT , LLC
Entity type:Organization
Organization Name:MERAKI TRANSPORT , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DECESSION
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-400-9903
Mailing Address - Street 1:4524 RUE ST MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-4500
Mailing Address - Country:US
Mailing Address - Phone:985-400-9903
Mailing Address - Fax:
Practice Address - Street 1:4524 RUE ST MARTIN ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-4500
Practice Address - Country:US
Practice Address - Phone:985-400-9903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)