Blue Ray LLC

Primary specialty

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

Legal business name

BLUE RAY LLC

Practice address

4345 Steinbeck Way
Ave Maria, FL 34142-5011

Phone

(239) 244-1228

NPI assigned

May 15, 2018

Organization subpart

Yes

Parent organization

BLUE RAY LLCAs reported in NPPES

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

Authorized official

Name

George C Jager, BA

Title

Office Manager/Driver

Phone

(239) 244-1228

Specialties & licenses 1

Addresses

Other names 2

• Blue Ray Transport Doing business as
• Blue Ray Transportation Doing business as

Part of

Blue Ray LLC

Practitioners 1

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

• Robert Sanders

  • Non-emergency Medical Transport (VAN)
  • Ave Maria, FL
  • NPI 1053808717
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1811487804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 STEINBECK WAY",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425011",
            "telephone_number": "239-244-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 STEINBECK WAY",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425011",
            "telephone_number": "239-244-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RAY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE RAY LLC",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JAGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER/DRIVER",
        "authorized_official_telephone_number": "239-244-1228",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ray Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ray Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ave Maria, FL
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.