NPIMap

Organization Active NPI

Jacob Transportation Services, LLC

Doing business as Executive Las Vegas

  • Taxi
  • Las Vegas, NY
National Provider Identifier
1245787563
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
JACOB TRANSPORTATION SERVICES, LLC
Doing business as
Executive Las Vegas
Practice address
3950 Tompkins Avenue
Las Vegas, NY 98103
Phone
(702) 429-3672
NPI assigned
Sep 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Carol Sue Jimmerson
Title
President
Phone
(702) 949-5384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X Primary

Addresses

Primary practice location

3950 Tompkins Avenue
Las Vegas, NY 98103

Mailing address

3950 W Tompkins Avenue
Las Vegas, NY 98103
Phone (702) 429-3672

Other names 1

  • Executive Las Vegas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Executive Las Vegas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1245787563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 W TOMPKINS AVENUE",
            "city": "LAS VEGAS",
            "state": "NY",
            "postal_code": "98103",
            "telephone_number": "702-429-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 TOMPKINS AVENUE",
            "city": "LAS VEGAS",
            "state": "NY",
            "postal_code": "98103",
            "telephone_number": "702-429-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB TRANSPORTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "JIMMERSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-949-5384"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.