MEDICARE: JRA TRANSPORTATIONS 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	:	1538007661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JRA TRANSPORTATIONS LLC

Provider Business Mailing Address
First Line	:	66691 FLORA AVE
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-4652
Country	:	US
Telephone Number	:	609-647-2014
Fax Number	:

Provider Business Practice Location Address
First Line	:	66691 FLORA AVE
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-4652
Country	:	US
Telephone Number	:	609-647-2014
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	JORGE RIVAS
Credential	:
Telephone Number	:	609-647-2014

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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