Healthcare Provider Details

I. General information

NPI: 1700016920
Provider Name (Legal Business Name): M COLEMAN ENTERPRISES LIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 JACKSON AVE
NEW ORLEANS LA
70130-4936
US

IV. Provider business mailing address

600 JACKSON AVE
NEW ORLEANS LA
70130-4936
US

V. Phone/Fax

Practice location:
  • Phone: 504-586-2222
  • Fax: 504-561-8106
Mailing address:
  • Phone: 504-586-2222
  • Fax: 504-561-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MONROE COLEMAN II
Title or Position: PRESIDENT-CEO
Credential:
Phone: 504-669-4796