Provider Demographics
NPI:1114767845
Name:MELLEA TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:MELLEA TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-741-7400
Mailing Address - Street 1:8428 GATEWAY RUN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-6540
Mailing Address - Country:US
Mailing Address - Phone:502-741-7400
Mailing Address - Fax:502-849-4325
Practice Address - Street 1:8428 GATEWAY RUN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-6540
Practice Address - Country:US
Practice Address - Phone:502-741-7400
Practice Address - Fax:502-849-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)