Provider Demographics
NPI:1770246191
Name:U.S. MOBILE CARE GROUP, LLC
Entity Type:Organization
Organization Name:U.S. MOBILE CARE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TAJONERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-298-4100
Mailing Address - Street 1:474 OVINGTON AVE APT 1D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1555
Mailing Address - Country:US
Mailing Address - Phone:347-298-4100
Mailing Address - Fax:347-227-1368
Practice Address - Street 1:14 WALL ST FL 20
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2123
Practice Address - Country:US
Practice Address - Phone:347-298-4100
Practice Address - Fax:347-227-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty