Provider Demographics
NPI:1326821745
Name:JGS TRANSPORTATION SERVICE, LLC
Entity Type:Organization
Organization Name:JGS TRANSPORTATION SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SHAVER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:916-690-9178
Mailing Address - Street 1:3044 SWALLOWS NEST DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-9718
Mailing Address - Country:US
Mailing Address - Phone:916-690-9178
Mailing Address - Fax:
Practice Address - Street 1:7526 ADDISON WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-5609
Practice Address - Country:US
Practice Address - Phone:916-690-9178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle