Healthcare Provider Details

I. General information

NPI: 1366890659
Provider Name (Legal Business Name): SECURE PATIENT DELIVERY SHUTTLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W ESPLANADE AVE STE 200
METAIRIE LA
70006-2765
US

IV. Provider business mailing address

4650 W ESPLANADE AVE STE 200
METAIRIE LA
70006-2765
US

V. Phone/Fax

Practice location:
  • Phone: 504-544-0773
  • Fax:
Mailing address:
  • Phone: 504-544-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: LACEY MAJORIE
Title or Position: HR MGR
Credential:
Phone: 504-544-0773