=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679274914
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JIMPER TRANSPORTATION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/14/2023
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 WESTINGHOUSE PLZ STE A206
-----------------------------------------------------
City | HYDE PARK
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02136-2079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-991-0498
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 WESTINGHOUSE PLZ STE A206
-----------------------------------------------------
City | HYDE PARK
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02136-2079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-991-0498
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/MANAGER
-----------------------------------------------------
Name | JIMPER KENDAL PIERRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-991-0498
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 347B00000X
-----------------------------------------------------
Taxonomy Name | Bus
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------