Organization Active NPI

Melancon'S Ride Therapy L.L.C.

  • Non-emergency Medical Transport (VAN)
  • New Orleans, LA
National Provider Identifier
1487173670
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
6004233 Issued in LA
Legal business name
MELANCON'S RIDE THERAPY L.L.C.
Practice address
4219 S Broad St
New Orleans, LA 70125-3659
Phone
(504) 818-6015
Fax
(504) 309-1930
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Mr. Deitras K Melancon Sr.
Title
Owner
Phone
(504) 818-6015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 6004233 LA Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

4219 S Broad St
New Orleans, LA 70125-3659

Mailing address

4219 S Broad St
New Orleans, LA 70125-3659
Phone (504) 818-6015

Other identifiers 1

IdentifierTypeStateIssuer
6004233OtherLATRANSPOTATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1487173670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 S BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701253659",
            "telephone_number": "504-818-6015",
            "fax_number": "504-309-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 S BROAD ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701253659",
            "telephone_number": "504-818-6015",
            "fax_number": "504-309-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANCON'S RIDE THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "DEITRAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-818-6015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "6004233",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANSPOTATION",
            "identifier": "6004233",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.