Sjvmpurpose LLC

Primary specialty

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

Legal business name

SJVMPURPOSE LLC

Practice address

8 Liberty St
Walden, NY 12586-1109

Phone

(845) 637-4950

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Loosmane Dessources

Title

Ceo

Phone

(845) 637-4950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1639934987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LIBERTY ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861109",
            "telephone_number": "845-637-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LIBERTY ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861109",
            "telephone_number": "845-637-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJVMPURPOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "DESSOURCES",
        "authorized_official_first_name": "LOOSMANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-637-4950"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Herron Scullion, CASAC
• Donald P Segal, DPM
• Riddhisha Shah
• Ajay F. Sharma, R.PH.
• Joel K Simon, LCSW
• Darlen Barbara Smieszek, RN
• Paula Jean Southwell, L.C.S.W.
• Helen L Spann, C.O.T.A.
• Ava Stahl
• Gloria Stanco, LPN

• Non-emergency Medical Transport (VAN) in Walden, NY
• Providers in Walden, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.