Healthcare Provider Details

I. General information

NPI: 1497541312
Provider Name (Legal Business Name): MIJOY COURIER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 BROOK DR
FLORISSANT MO
63033-5515
US

IV. Provider business mailing address

2385 BROOK DR
FLORISSANT MO
63033-5515
US

V. Phone/Fax

Practice location:
  • Phone: 704-280-5240
  • Fax:
Mailing address:
  • Phone: 704-280-5240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ARLANDO MAUTRELL HENDERSON
Title or Position: OWNER
Credential: NA
Phone: 314-337-1523