Jacksontown Road, LLC

Primary specialty

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

Legal business name

JACKSONTOWN ROAD, LLC

Practice address

1724 1St St NW
Washington, DC 20001-1138

Phone

(202) 642-9370

Fax

(202) 459-2208

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa W Hayes

Title

Ceo

Phone

(202) 642-9370

Specialties & licenses 1

Addresses

Other names 1

• Hayes Transportation Doing business as

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1578834826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S DINWIDDIE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042912",
            "telephone_number": "202-642-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 1ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011138",
            "telephone_number": "202-642-9370",
            "fax_number": "202-459-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONTOWN ROAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-642-9370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayes Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William B. Jackson II, M.D.
• Yasmine Jackson
• Yulonda S Jackson
• Zachary Jackson
• Zequana Jackson
• Ashwin Jacob Mathai, M.D.
• Cherian Jacob, MD
• Daryl Jacob, CAA
• Ekundayo Daniel Jacob
• Sonia Jacob, DO

• Non-emergency Medical Transport (VAN) in Washington, DC
• Providers in Washington, DC by specialty
• Non-emergency Medical Transport (VAN) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.