Provider Demographics
NPI:1295467397
Name:JAPA-ED
Entity Type:Organization
Organization Name:JAPA-ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIAWANNA
Authorized Official - Middle Name:LABELL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:803-331-2147
Mailing Address - Street 1:204 TODD BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6337
Mailing Address - Country:US
Mailing Address - Phone:803-331-2147
Mailing Address - Fax:
Practice Address - Street 1:204 TODD BRANCH DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6337
Practice Address - Country:US
Practice Address - Phone:803-331-2147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)