Provider Demographics
NPI:1962086470
Name:SCARLETT ENTERPRISE LLC
Entity type:Organization
Organization Name:SCARLETT ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-317-1804
Mailing Address - Street 1:61 EMPIRE AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-1927
Mailing Address - Country:US
Mailing Address - Phone:203-317-1804
Mailing Address - Fax:
Practice Address - Street 1:85 TREMONT ST STE 1
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-2273
Practice Address - Country:US
Practice Address - Phone:203-427-1826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCARLETT ENTERPRISE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health