NPIMap

Organization Active NPI

Jacob S Bailey LLC

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1801425541
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JACOB S BAILEY LLC
Practice address
424 Plymouth Ave
Charlotte, NC 28206-3139
Phone
(480) 540-0111
NPI assigned
Apr 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Authorized official

Name
Jacob BaileyNPI 1528695301
Title
Owner
Phone
(480) 540-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

424 Plymouth Ave
Charlotte, NC 28206-3139

Mailing address

424 Plymouth Ave
Charlotte, NC 28206-3139
Phone (480) 540-0111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1801425541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PLYMOUTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063139",
            "telephone_number": "480-540-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PLYMOUTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063139",
            "telephone_number": "480-540-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB S BAILEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-05",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-540-0111"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.