Provider Demographics
NPI:1811559016
Name:JRCS PARTNERSHIP. LP
Entity Type:Organization
Organization Name:JRCS PARTNERSHIP. LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARIDAD
Authorized Official - Middle Name:SILASTRE
Authorized Official - Last Name:REBENITO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:209-607-8387
Mailing Address - Street 1:343 E MAIN ST STE 614
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-2977
Mailing Address - Country:US
Mailing Address - Phone:209-607-8387
Mailing Address - Fax:205-625-0479
Practice Address - Street 1:343 E MAIN ST STE 614
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-2977
Practice Address - Country:US
Practice Address - Phone:209-607-8387
Practice Address - Fax:209-625-0479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA201917100005OtherCA SECRETARY OF STATE