Provider Demographics
NPI:1871667535
Name:JHH TRANSPORT, LLC
Entity Type:Organization
Organization Name:JHH TRANSPORT, LLC
Other - Org Name:LIFECARE TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:212-870-4600
Mailing Address - Street 1:120 W 106TH ST
Mailing Address - Street 2:ATTN LIFECARE TRANSPORT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3712
Mailing Address - Country:US
Mailing Address - Phone:212-870-4815
Mailing Address - Fax:
Practice Address - Street 1:120 W 106TH ST
Practice Address - Street 2:ATTN LIFECARE TRANSPORT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3712
Practice Address - Country:US
Practice Address - Phone:212-870-4815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02228522Medicaid