JABRILL OMAR JIMAALE (NPI# 1912539024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912539024 |
| Entity Type | Individual |
| Full Name | JABRILL OMAR JIMAALE |
| Practice Address |
5725 E Lancaster Ave Fort Worth TX 76112-6528 |
| Practice Telephone | 8178511663 |
| Practice Fax Number | 8178511664 |
| Mailing Telephone | 8178511663 |
| Mailing Fax Number | 8178511664 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | T950225934414 | MN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NON EMERGENCY MEDICAL TRANSPORTATION | 842077605 | 01 |
| TX | NON EMERGENCY MEDICAL TRANPORTATION | 842077605 | 01 |
| Street Address |
5725 E LANCASTER AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| 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 |
|---|---|---|---|---|
| 1619580313 | Hassan Hassan Sr. | Non-emergency Medical Transport (VAN) | 4504 Cathedral Dr Apt 1404, Fort Worth, TX 76119-8704 | 2020-08-24 |
| 1750992061 | Azrielle D Toliver | Non-emergency Medical Transport (VAN) | 10213 Feldspar Dr, Fort Worth, TX 76131-4282 | 2020-08-11 |
| 1861014904 | Aalvina and Elijah Inc | Non-emergency Medical Transport (VAN) | 1848 Potrillo Ln, Fort Worth, TX 76131-1446 | 2020-05-12 |
| 1023638251 | Ride N' Safe, LLC | Non-emergency Medical Transport (VAN) | 15400 Highway 377 S, Fort Worth, TX 76126-5524 | 2020-04-17 |
| 1164050738 | Ace Ride Share | Non-emergency Medical Transport (VAN) | 5725 E Lancaster Ave # 209, Fort Worth, TX 76112-6528 | 2020-03-30 |
| 1215567227 | Angela Woods | Non-emergency Medical Transport (VAN) | 2937 Timberline Dr, Fort Worth, TX 76119-4735 | 2020-01-17 |
| 1447892609 | Thomas R Nolley Sr. | Non-emergency Medical Transport (VAN) | 6921 Chippendale Dr, Fort Worth, TX 76134-3803 | 2019-10-09 |
| 1184102295 | Arrow Transportation | Non-emergency Medical Transport (VAN) | 6161 Shad Dr, Fort Worth, TX 76179-7589 | 2018-07-31 |
| 1679051080 | Kaygee Medical Transportation Services | Non-emergency Medical Transport (VAN) | 7204 Silver City Dr, Fort Worth, TX 76179-2223 | 2018-07-30 |
| 1073003869 | Mavstar Medical Transportation, Inc. | Non-emergency Medical Transport (VAN) | 4240 Golden Triangle Blvd, Fort Worth, TX 76244 | 2018-05-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
Please comment or provide details below to improve the information on JABRILL OMAR JIMAALE.
| 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.