Provider Demographics
NPI:1245494483
Name:JRM TRANSPORTATION, LLC
Entity type:Organization
Organization Name:JRM TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:RICIANNE
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-407-7800
Mailing Address - Street 1:162 BARTHOLDI AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1804
Mailing Address - Country:US
Mailing Address - Phone:702-407-7800
Mailing Address - Fax:702-407-7868
Practice Address - Street 1:162 BARTHOLDI AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1804
Practice Address - Country:US
Practice Address - Phone:702-407-7800
Practice Address - Fax:702-407-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)