Healthcare Provider Details

I. General information

NPI: 1730029158
Provider Name (Legal Business Name): JGNA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CHERRY ST
SPENCER MA
01562-2213
US

IV. Provider business mailing address

80 CHERRY ST
SPENCER MA
01562-2213
US

V. Phone/Fax

Practice location:
  • Phone: 508-596-7323
  • Fax:
Mailing address:
  • Phone: 508-596-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOSE G RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 508-596-7323