Provider Demographics
NPI:1568953875
Name:YJR HOLDINGS LLC
Entity Type:Organization
Organization Name:YJR HOLDINGS LLC
Other - Org Name:YJM TRANS CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-315-7501
Mailing Address - Street 1:200 PARK AVE APT 424
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-5025
Mailing Address - Country:US
Mailing Address - Phone:312-315-7501
Mailing Address - Fax:709-585-0211
Practice Address - Street 1:200 PARK AVE APT 424
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5025
Practice Address - Country:US
Practice Address - Phone:312-315-7501
Practice Address - Fax:709-585-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)