MEDICARE: MELANATED HEALTH LOGISTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1457203671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELANATED HEALTH LOGISTICS

Provider Business Mailing Address
First Line	:	1363 DREXEL PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2537
Country	:	US
Telephone Number	:	704-690-9046
Fax Number	:

Provider Business Practice Location Address
First Line	:	1363 DREXEL PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2537
Country	:	US
Telephone Number	:	704-690-9046
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELINE DENISE BOYD
Credential	:
Telephone Number	:	980-785-8892

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “MELANATED HEALTH LOGISTICS ” Practice Location

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