{
"Npi": {
"NPI": "1841826641",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JEAN TRANSPORTATION BUSINESS, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27475 FERRY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARRENVILLE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60555-3808",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-412-4674",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1171 E WILSON ST APT 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BATAVIA",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60510-2256",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-425-3952",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/13/2020",
"LastUpdateDate": "01/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOYI",
"AuthorizedOfficialFirstName": "JEAN JACQUES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "331-454-3351",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}