Provider Demographics
NPI:1316401573
Name:JACOB CAR SERVICE INC
Entity Type:Organization
Organization Name:JACOB CAR SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMMIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-512-6235
Mailing Address - Street 1:71 JACKSON ST
Mailing Address - Street 2:SUITE 2 L
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4795
Mailing Address - Country:US
Mailing Address - Phone:914-512-6235
Mailing Address - Fax:
Practice Address - Street 1:71 JACKSON ST
Practice Address - Street 2:SUITE 2 L
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4795
Practice Address - Country:US
Practice Address - Phone:914-512-6235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle