Organization Active NPI

Marrakesch Inc

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1831615392
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MARRAKESCH INC
Practice address
5736 N Tryon St
Charlotte, NC 28213-6850
Phone
(919) 535-9311
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Donnette Thomas
Title
Ceo
Phone
(919) 535-9311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Non-emergency Medical Transport (VAN) 343900000X CA Primary

Addresses

Primary practice location

5736 N Tryon St
Charlotte, NC 28213-6850

Mailing address

15720 Brixham Hill Ave Ste 300
Charlotte, NC 28277-4784
Phone (919) 535-9311

Other practice location 1

3737 Glenwood Ave Ste 163
Raleigh, NC 27612-5515
Phone (919) 535-9311

Other identifiers 1

IdentifierTypeStateIssuer
GP9563MedicaidSC

National Provider Directory

National Provider Directory

Locations

15720 Brixham Hill Ave
Charlotte, NC 28277
Phone (704) 541-5555

3737 Glenwood Ave
Ste 163
Raleigh, NC 27612
Phone (919) 535-9311

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1831615392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774784",
            "telephone_number": "919-535-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136850",
            "telephone_number": "919-535-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 Glenwood Ave Ste 163",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125515",
            "country_code": "US",
            "telephone_number": "919-535-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARRAKESCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DONNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-535-9311"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9563",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.