Provider Demographics
NPI:1205616968
Name:ELUXE ENTERPRISE LLC
Entity type:Organization
Organization Name:ELUXE ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-645-1788
Mailing Address - Street 1:742 CROSSOVER LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-4905
Mailing Address - Country:US
Mailing Address - Phone:901-645-1788
Mailing Address - Fax:901-284-0799
Practice Address - Street 1:742 CROSSOVER LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4905
Practice Address - Country:US
Practice Address - Phone:901-645-1788
Practice Address - Fax:901-284-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN091472538OtherDRIVERS LICENSE