Jai Mataji LLC

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

License

2080139514485 Issued in FL

Legal business name

JAI MATAJI LLC

Doing business as

We Care Mobility Medical Supplies

Practice address

3445 Crane Hill CT
Orange Park, FL 32065-5255

Phone

(717) 991-2400

Fax

(904) 406-2626

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rakesh K Patel

Title

Manager

Phone

(717) 991-2400

Specialties & licenses 3

Addresses

Other names 1

• WE CARE MOBILITY MEDICAL SUPPLIES Doing business as

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1730364332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 CRANE HILL CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655255",
            "telephone_number": "717-991-2400",
            "fax_number": "904-406-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 CRANE HILL CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655255",
            "telephone_number": "717-991-2400",
            "fax_number": "904-406-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI MATAJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-991-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "2080139514485",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "FL",
            "license": "2080139514485",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "2080139514485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WE CARE MOBILITY MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.