Jaxs Transport Service LLC

Primary specialty

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

Legal business name

JAXS TRANSPORT SERVICE LLC

Practice address

174 Dynasty LN
Hiram, GA 30141-2056

Phone

(563) 203-4110

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Brenae Hord

Title

Owner

Phone

(563) 203-4110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1255058954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E PAULDING DR STE 122",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301577192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DYNASTY LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412056",
            "telephone_number": "563-203-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXS TRANSPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "HORD",
        "authorized_official_first_name": "BRENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-203-4110"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jackson, MA
• Tanesha Jackson
• Charles Christopher Jakubczak, D.C.
• Rhonda James-Jones
• Jason E. Turner, DMD, PC
• Jay Goldklang DC, PC
• Sherley Jean Louis
• Patricia Jean-Francois, LPC
• Brittany Park Jeffers, P.A.
• Kelly Shirlette Jenkins, PC

• Non-emergency Medical Transport (VAN) in Hiram, GA
• Providers in Hiram, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.