Provider Demographics
NPI:1376687467
Name:J & L TRANSIT SERVICES LLC
Entity Type:Organization
Organization Name:J & L TRANSIT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TANUVASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-780-9100
Mailing Address - Street 1:1151 ALOHI WAY APT 303
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2244
Mailing Address - Country:US
Mailing Address - Phone:808-780-9100
Mailing Address - Fax:808-664-7637
Practice Address - Street 1:1151 ALOHI WAY APT 303
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2244
Practice Address - Country:US
Practice Address - Phone:808-780-9100
Practice Address - Fax:808-664-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPUC 1869-C343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI58994701Medicaid