Jubilee Medical Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JUBILEE MEDICAL TRANSPORTATION, LLC

Practice address

580 E 200TH St
Suite # 201
Euclid, OH 44119-2391

Phone

(216) 916-0185

Fax

(216) 916-0185

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Waid Olusegun Fashina-Jinadu

Title

President

Phone

(216) 916-0185

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003960204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E 200TH ST",
            "address_2": "SUITE # 201",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192391",
            "telephone_number": "216-916-0185",
            "fax_number": "216-916-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E 200TH ST",
            "address_2": "SUITE # 201",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192391",
            "telephone_number": "216-916-0185",
            "fax_number": "216-916-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASHINA-JINADU",
        "authorized_official_first_name": "WAID",
        "authorized_official_middle_name": "OLUSEGUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-916-0185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Euclid, OH
• Providers in Euclid, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.