MEDICARE: SECURE PATIENT DELIVERY SHUTTLE LLC

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	:	1366890659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECURE PATIENT DELIVERY SHUTTLE LLC

Provider Business Mailing Address
First Line	:	4650 W ESPLANADE AVE STE 200
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-2765
Country	:	US
Telephone Number	:	504-544-0773
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 W ESPLANADE AVE STE 200
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-2765
Country	:	US
Telephone Number	:	504-544-0773
Fax Number	:

Authorized Official
Title or Position	:	HR MGR
Name	:	LACEY MAJORIE
Credential	:
Telephone Number	:	504-544-0773

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	12/17/2025

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