JIMMY ANSONG (NPI# 1063984417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063984417 |
| Entity Type | Individual |
| Full Name | JIMMY ANSONG |
| Practice Address |
61 Mcclellan St Providence RI 02909-5619 |
| Practice Telephone | 4014740392 |
| Practice Fax Number | 4017190651 |
| Mailing Telephone | 4014740392 |
| Mailing Fax Number | 4017190651 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
61 MCCLELLAN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793274 | Abdulgiyath O Mayaleeke | Non-emergency Medical Transport (VAN) | 4 Salisbury St, Providence, RI 02905-2222 | 2019-01-11 |
| 1245702331 | F.s.a. Transportation,llc | Non-emergency Medical Transport (VAN) | 366 Public St, Providence, RI 02905-2343 | 2018-12-29 |
| 1194297002 | Royalty Transport & Autosaes LLC | Non-emergency Medical Transport (VAN) | 40 Stenton Ave Apt 213, Providence, RI 02906-2766 | 2018-12-18 |
| 1851869143 | Safiri Transportation LLC | Non-emergency Medical Transport (VAN) | 166 Valley St Bldg 6m, Providence, RI 02909-2400 | 2018-11-05 |
| 1568984383 | Exclusive Care Transportation LLC | Non-emergency Medical Transport (VAN) | 25 Duxbury St, Providence, RI 02909-6001 | 2017-07-13 |
| 1699115444 | Moufoutaho Liassou | Non-emergency Medical Transport (VAN) | 59 Iona St, Providence, RI 02908-2307 | 2013-06-25 |
| 1710320809 | University Shuttle LLC | Non-emergency Medical Transport (VAN) | 284 Allens Ave, Providence, RI 02905-5002 | 2013-04-09 |
| 1245570142 | Elmwood Medical Transportation Services | Non-emergency Medical Transport (VAN) | 20 Miner St, Suite B, Providence, RI 02905-2108 | 2013-03-01 |
| 1629318209 | Kaydolly Medical & Marketing Transporter | Non-emergency Medical Transport (VAN) | 28 Padelford St, Providence, RI 02906-1714 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030995 | Orbit LLC | Non-emergency Medical Transport (VAN) | 20 Lena St Apt 1, North Providence, RI 02904-5029 | 2020-07-17 |
| 1962020370 | Gaffy Transportation LLC | Non-emergency Medical Transport (VAN) | 365 Simmonsville Ave Apt 2201, Johnston, RI 02919-6075 | 2020-07-12 |
| 1174141568 | Srs Logistics LLC | Non-emergency Medical Transport (VAN) | 72 French St, Pawtucket, RI 02860-4212 | 2020-07-11 |
| 1316587066 | Peacedale Transportation | Non-emergency Medical Transport (VAN) | 29 Luray St, Riverside, RI 02915-3247 | 2020-01-10 |
| 1376015792 | Kenntoni Medical Corp | Non-emergency Medical Transport (VAN) | 3 Washakie Ave Fl 2, N Providence, RI 02911-3532 | 2018-12-24 |
| 1225500788 | A and M Transportation LLC | Non-emergency Medical Transport (VAN) | 120 Armistice Blvd, Pawtucket, RI 02860-3208 | 2018-12-21 |
| 1255803854 | Teallia LLC | Non-emergency Medical Transport (VAN) | 121 Bacon St, Pawtucket, RI 02860-5542 | 2018-12-20 |
| 1972075588 | Abdoula Sylla LLC | Non-emergency Medical Transport (VAN) | 277 West Ave, Pawtucket, RI 02860-3742 | 2018-12-20 |
| 1811469489 | Pajotte Transportation LLC | Non-emergency Medical Transport (VAN) | 23 Randall St, Cranston, RI 02920-5023 | 2018-12-20 |
| 1447722236 | Comfort Transportation Corp | Non-emergency Medical Transport (VAN) | 15 Norton St, Pawtucket, RI 02860-4343 | 2018-12-18 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.