Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rasby Mason II

Individual provider Meals Provider · NPI 1649001868

Rasby Mason II is a Meals Provider in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
12

Practice location Address checks out

4727 Broadway Ave
Shreveport, LA 71109-6908
Phone: (318) 349-9394
Fax: (318) 626-7179
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Meals Provider Taxonomy 174200000X
Local Education Agency (LEA) Taxonomy 251300000X
Case Management Agency Taxonomy 251B00000X
PACE Provider Organization Taxonomy 251T00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
VA Clinic/Center Taxonomy 261QV0200X

Record details

NPI number1649001868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address4727 Broadway Ave, Shreveport, LA 71109-6908

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