Organization Active NPI

Mahogany Transportation

  • Non-emergency Medical Transport (VAN)
  • Marrero, LA
National Provider Identifier
1205400892
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MAHOGANY TRANSPORTATION
Practice address
6744 Carver Dr
Marrero, LA 70072-4516
Phone
(504) 281-3597
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Mr. Samara McClendon Ellis
Title
Owner
Phone
(504) 281-3597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

6744 Carver Dr
Marrero, LA 70072-4516

Mailing address

1801 Manhattan Blvd Ste 172
Harvey, LA 70058-7300
Phone (504) 281-3597

National Provider Directory

National Provider Directory

Locations

1801 Manhattan Blvd
Ste 172
Harvey, LA 70058

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1205400892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MANHATTAN BLVD STE 172",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587300",
            "telephone_number": "504-281-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CARVER DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724516",
            "telephone_number": "504-281-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "MCCLENDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-281-3597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.