Provider Demographics
NPI:1841826641
Name:JEAN TRANSPORTATION BUSINESS, LLC
Entity type:Organization
Organization Name:JEAN TRANSPORTATION BUSINESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:GOYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-454-3351
Mailing Address - Street 1:27475 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3808
Mailing Address - Country:US
Mailing Address - Phone:708-412-4674
Mailing Address - Fax:
Practice Address - Street 1:1171 E WILSON ST APT 104
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-2256
Practice Address - Country:US
Practice Address - Phone:630-425-3952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1214200912Medicaid