Healthcare Provider Details

I. General information

NPI: 1689250938
Provider Name (Legal Business Name): J&J CARE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MADISON ST STE 500
WORCESTER MA
01608-2077
US

IV. Provider business mailing address

90 MADISON ST STE 500
WORCESTER MA
01608-2077
US

V. Phone/Fax

Practice location:
  • Phone: 508-762-9434
  • Fax:
Mailing address:
  • Phone: 508-762-9434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MARILYN NEGRON
Title or Position: VICE PRESIDENT
Credential:
Phone: 508-762-9434