Healthcare Provider Details

I. General information

NPI: 1609698653
Provider Name (Legal Business Name): J & J SAFE MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 DONALDSON RD
GREENVILLE SC
29605-3710
US

IV. Provider business mailing address

210 DONALDSON RD
GREENVILLE SC
29605-3710
US

V. Phone/Fax

Practice location:
  • Phone: 614-353-9663
  • Fax:
Mailing address:
  • Phone: 614-353-9663
  • 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 Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN STONEY TAYLOR
Title or Position: CO-OWNER
Credential: CO-OWNER
Phone: 614-353-9663