Mirage Transportation Services LLC

Primary specialty

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

Legal business name

MIRAGE TRANSPORTATION SERVICES LLC

Practice address

448 Castle Dr
Edgard, LA 70049-2526

Phone

(504) 289-1698

NPI assigned

Jun 10, 2019

Last updated

Jun 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Zeringue

Title

Owner

Phone

(504) 289-1698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1356900724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 CASTLE DR",
            "city": "EDGARD",
            "state": "LA",
            "postal_code": "700492526",
            "telephone_number": "504-289-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 CASTLE DR",
            "city": "EDGARD",
            "state": "LA",
            "postal_code": "700492526",
            "telephone_number": "504-289-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Congress St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701175929",
            "country_code": "US",
            "telephone_number": "504-289-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRAGE TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-06-04",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "ZERINGUE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-289-1698"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jones
• Renee Jones
• Travion Tequilla Renee Labranch
• Tracey Renee Mattio, FNP
• Mirage Home Health Agency, LLC
• Paisley at Home, LLC
• Renee Faith
• Renee Faith LLC
• RWJ Home Care, LLC
• Teche Action Board, Inc. (Teche Health @ Edgard)

• Non-emergency Medical Transport (VAN) in Edgard, LA
• Providers in Edgard, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.