Organization Active NPI

J3 Reliable Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Hermanville, MS
National Provider Identifier
1639925761
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
J3 RELIABLE TRANSPORT LLC
Practice address
20136 Hwy 18
Hermanville, MS 39086
Phone
(601) 617-5653
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mrs. Ronaldlyn Jeaneice Shoulders-Jones
Title
Owner
Phone
(601) 617-5653

Specialties & licenses 1

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

Addresses

Primary practice location

20136 Hwy 18
Hermanville, MS 39086

Mailing address

20136 Hwy 18
Hermanville, MS 39086
Phone (601) 617-5653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1639925761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20136 HWY 18",
            "city": "HERMANVILLE",
            "state": "MS",
            "postal_code": "39086",
            "telephone_number": "601-617-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20136 HWY 18",
            "city": "HERMANVILLE",
            "state": "MS",
            "postal_code": "39086",
            "telephone_number": "601-617-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J3 RELIABLE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SHOULDERS-JONES",
        "authorized_official_first_name": "RONALDLYN",
        "authorized_official_middle_name": "JEANEICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-617-5653",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermanville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.