=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982516027
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TAKING IT TO THE STREETS OUTREACH LIMITED LIABILITY COMPANY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2026
-----------------------------------------------------
Last Update Date | 09/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6532 ROSE AVE
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-836-1479
-----------------------------------------------------
Fax | 800-836-1479
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14910 PERRIS BLVD STE B
-----------------------------------------------------
City | MORENO VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92553-7181
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax | 800-836-1479
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. MERCIDA DEMPS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 562-482-7364
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------