KJ MEDICAL MOBILE TRANSPORT, INC. (NPI# 1306333067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306333067 |
| Entity Type | Organization |
| Organization Name | KJ MEDICAL MOBILE TRANSPORT, INC. |
| Practice Address |
1600 Mill Creek Rd Apt 407 Jacksonville FL 32211-4479 |
| Mailing Address |
Po Box 8499 Jacksonville FL 32239-0499 |
| Practice Telephone | 9048879978 |
| Mailing Telephone | 9048879978 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | MRS. JENNIFER MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 9048879978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
1600 MILL CREEK RD APT 407 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| 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 |
|---|---|---|---|---|
| 1972124089 | Team Williams Limited Liability Company | Non-emergency Medical Transport (VAN) | 1378 Summit Oaks Dr W, Jacksonville, FL 32221-3240 | 2020-04-29 |
| 1831728419 | Angela Gaines | Non-emergency Medical Transport (VAN) | 8556 Sturbridge Cir W, Jacksonville, FL 32244-6188 | 2020-04-05 |
| 1609409259 | Whc Jax LLC | Non-emergency Medical Transport (VAN) | 5154 Edward St, Jacksonville, FL 32254-1621 | 2020-02-21 |
| 1366075731 | Carmena Non-medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1141 W 9th St, Jacksonville, FL 32209-5640 | 2020-02-13 |
| 1427689082 | Med Family Care Transport Corp | Non-emergency Medical Transport (VAN) | 7245 Oakwood Dr, Jacksonville, FL 32211-7653 | 2020-01-31 |
| 1699305474 | Roman Destination Transportation LLC | Non-emergency Medical Transport (VAN) | 1499 Guardian Dr, Jacksonville, FL 32221-8028 | 2020-01-22 |
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1871133934 | Agape Community Health Mobile Unit | Non-emergency Medical Transport (VAN) | 1880 Edgewood Ave W, Jacksonville, FL 32208-3021 | 2020-01-07 |
| 1194364513 | Ace A1 Transportation LLC | Non-emergency Medical Transport (VAN) | 2120 Wilson St, Jacksonville, FL 32209-5454 | 2020-01-02 |
| 1427695113 | Michael Gervis Snead | Non-emergency Medical Transport (VAN) | 7336 Colony Cove Ln, Jacksonville, FL 32277-2791 | 2019-12-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
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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.