JAYLEN LEANDRE HOLMES
NPI 1053128637
Non-emergency Medical Transport (VAN) in Lawrenceville, GA

Active since December 17, 2024
579 SIMONTON OAK LN, LAWRENCEVILLE, GA 30045(317) 476-1877 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Non-emergency Medical Transport (VAN)

About JAYLEN HOLMES

This page provides the complete NPI Profile along with additional information for Jaylen Holmes, a provider established in Lawrenceville, Georgia with a medical specialization in Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1053128637 assigned on December 2024. The practitioner's primary taxonomy code is 343900000X with license number 060490575 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1053128637 Verify this NPI
Provider Name
JAYLEN LEANDRE HOLMES
Gender
Male
Entity Type
Individual
Location Address
579 SIMONTON OAK LN LAWRENCEVILLE, GA 30045
Location Phone
(317) 476-1877
Mailing Address
579 SIMONTON OAK LN LAWRENCEVILLE, GA 30045
Mailing Phone
(317) 476-1877
Is Sole Proprietor?
Yes
Enumeration Date
12-17-2024
Last Update Date
12-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
060490575
License State
GA
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

In Home Supportive Care
579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045
In Home Supportive Care
579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053128637, enumerated as an "individual" on December 17, 2024.

The provider is located at 579 SIMONTON OAK LN LAWRENCEVILLE, GA 30045 and the phone number is (317) 476-1877.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.