Active NPI
Mahogany Transportation
- Non-emergency Medical Transport (VAN)
- Marrero, LA
National Provider Identifier
1205400892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.