J&J Ambulette Service, LLC

Primary specialty

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

License

83 Issued in VA

Legal business name

J&J AMBULETTE SERVICE, LLC

Practice address

12266 Prince George Dr
Disputanta, VA 23842-4404

Phone

(804) 861-1266

Fax

(804) 861-6221

NPI assigned

Oct 25, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John E Thomas Jr.

Title

Owner

Phone

(804) 502-0543

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1417409475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 PRINCE GEORGE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424404",
            "telephone_number": "804-861-1266",
            "fax_number": "804-861-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 PRINCE GEORGE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424404",
            "telephone_number": "804-861-1266",
            "fax_number": "804-861-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J AMBULETTE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-502-0543",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEXINGTON INSURANCE COMPANY",
            "identifier": "41LX067181063100",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comfort Care Facilitation
• Kay G East
• Sarah Foote
• Jasmine Danisha Gant
• Grateful Beginnings LLC
• J&J Ambulette Services
• Jennifer White
• Diona Jones
• Dominique King
• Tony Roosevelt King, M.D.

• Non-emergency Medical Transport (VAN) in Disputanta, VA
• Providers in Disputanta, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.