Organization Active NPI

Yjr Holdings LLC

  • Non-emergency Medical Transport (VAN)
  • Calumet City, IL
National Provider Identifier
1568953875
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
YJR HOLDINGS LLC
Practice address
200 Park Ave Apt 424
Calumet City, IL 60409-5025
Phone
(312) 315-7501
Fax
(709) 585-0211
NPI assigned
May 22, 2018
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Miss Jennifer R Barnes
Title
President
Phone
(312) 315-7501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

200 Park Ave Apt 424
Calumet City, IL 60409-5025

Mailing address

200 Park Ave Apt 424
Calumet City, IL 60409-5025
Phone (312) 315-7501

Other names 1

  • yjm trans corp Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1568953875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE APT 424",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095025",
            "telephone_number": "312-315-7501",
            "fax_number": "709-585-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE APT 424",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095025",
            "telephone_number": "312-315-7501",
            "fax_number": "709-585-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YJR HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-315-7501",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yjm trans corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.