Provider Demographics
NPI:1235695131
Name:NJBTRANSPORTATION, LLC
Entity Type:Organization
Organization Name:NJBTRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION/DRIVER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BOCANEGRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-280-4374
Mailing Address - Street 1:103 W PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30741-1850
Mailing Address - Country:US
Mailing Address - Phone:423-280-4374
Mailing Address - Fax:
Practice Address - Street 1:103 W PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30741-1850
Practice Address - Country:US
Practice Address - Phone:423-280-4374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)