JOLLY TRANSPORT INCORPORATED (NPI# 1427401025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427401025 |
| Entity Type | Organization |
| Organization Name | JOLLY TRANSPORT INCORPORATED |
| Practice Address |
269 Evergreen Ct Azusa CA 91702-6220 |
| Practice Telephone | 3238285658 |
| Mailing Telephone | 3238285658 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | MRS. JOY S DELA CRUZ (CORPORATE SECRETARY/COO) |
| Authorized Official Telephone | 6262241848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
269 EVERGREEN CT |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1629403498 | A.s.a.p. Patient Ride, LLC | Non-emergency Medical Transport (VAN) | 12 Poppyglen Ct, Azusa, CA 91702-6282 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1639779796 | Med United Inc | Non-emergency Medical Transport (VAN) | 12153 Via Serrano, El Cajon, CA 92019-5022 | 2020-10-28 |
| 1639779085 | Steemmy Transit LLC | Non-emergency Medical Transport (VAN) | 5179 Lone Tree Way Ste 534, Antioch, CA 94531-8689 | 2020-10-27 |
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1871192609 | Andre Barian | Non-emergency Medical Transport (VAN) | 4448 Eagle Rock Blvd Ste G, Los Angeles, CA 90041-3512 | 2020-10-22 |
| 1356940043 | Statewide Medical Services LLC | Non-emergency Medical Transport (VAN) | 38 W Sierra Madre Blvd Ste K, Sierra Madre, CA 91024-2488 | 2020-10-22 |
| 1598364424 | Good Health Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 1009 Highway A12, Montague, CA 96064-9037 | 2020-10-21 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1669071759 | Doha Murad | Non-emergency Medical Transport (VAN) | 4862 Garden Homes Pl, Elk Grove, CA 95758-9516 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.