Provider Demographics
NPI:1477298693
Name:JESUS TAKE THE WHEEL, LLC
Entity Type:Organization
Organization Name:JESUS TAKE THE WHEEL, LLC
Other - Org Name:JTTW TRANSPORTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANPELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-931-2909
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-0274
Mailing Address - Country:US
Mailing Address - Phone:214-931-2909
Mailing Address - Fax:
Practice Address - Street 1:1697 SPARROW CT
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2474
Practice Address - Country:US
Practice Address - Phone:214-931-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477298693OtherNPI