Provider Demographics
NPI:1134952203
Name:B&J NON-EMERGENCY TRANSPORT SERVICES LLC
Entity type:Organization
Organization Name:B&J NON-EMERGENCY TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:BICHERE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:MGR
Authorized Official - Phone:321-402-4179
Mailing Address - Street 1:3919 GOLDEN FINCH WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2006
Mailing Address - Country:US
Mailing Address - Phone:321-402-4179
Mailing Address - Fax:407-201-6257
Practice Address - Street 1:3919 GOLDEN FINCH WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2006
Practice Address - Country:US
Practice Address - Phone:321-402-4179
Practice Address - Fax:407-201-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)