Blaque Moon Enterprises, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BLAQUE MOON ENTERPRISES, LLC

Practice address

2025 Dolly Wright St
Houston, TX 77088-7720

Phone

(832) 623-1637

Fax

(832) 487-8070

NPI assigned

Sep 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalie Shelene DavisNPI 1699153114

Title

Ceo

Phone

(832) 623-1637

Specialties & licenses 1

Addresses

Other names 1

• Sankofa Transportation Solutions Doing business as

Tax ID family

Blaque Moon Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blaque Moon Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
  • NPI 1093264418
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Davis

  • Transportation Broker
  • Houston, TX
  • NPI 1699153114

  Non-Emergency Medical Transport (Van)

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1114396124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 DOLLY WRIGHT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887720",
            "telephone_number": "832-623-1637",
            "fax_number": "832-487-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 DOLLY WRIGHT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887720",
            "telephone_number": "832-623-1637",
            "fax_number": "832-487-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAQUE MOON ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "SHELENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-623-1637"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sankofa Transportation Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arnesha Lynette Blanks, LPC
• Diana Blanks, NP
• Amanda K. Blanton, CSFA
• Jennifer Mailinh Blanton, D.D.S.
• Blaque Moon Enterprises LLC
• Monica Blas, PHARMD
• Blase Orieukwu
• Daniel Blasingame, PHARMD
• Kyla Blasingame
• Marli Marie Blasingame, APRN-CNP

• Non-emergency Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.