MEDICARE: CJH TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1013319672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CJH TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	PO BOX 16207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77222-6207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2932 LA ESTANCIA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-5658
Country	:	US
Telephone Number	:	832-243-3385
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOUSILYN CAIN
Credential	:
Telephone Number	:	832-433-3856

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	09/25/2014

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Directions to “CJH TRANSPORTATION LLC ” Practice Location

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