Healthcare Provider Details

I. General information

NPI: 1962358846
Provider Name (Legal Business Name): JAO LLC DBA MIDNIGHT SUN PARATRANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 CREEKSIDE ST APT 1
ANCHORAGE AK
99504-1353
US

IV. Provider business mailing address

265 CREEKSIDE ST APT 1
ANCHORAGE AK
99504-1353
US

V. Phone/Fax

Practice location:
  • Phone: 714-785-5831
  • Fax:
Mailing address:
  • Phone: 714-785-5831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JHOANA ACOSTA OLIVARES
Title or Position: BUSINESS OWNER/PROVIDER
Credential:
Phone: 714-785-5831