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

Q: What is Jaylen Holmes's NPI number?

The NPI number for Jaylen Holmes is 1053128637. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Jaylen Holmes's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Q: When was this NPI record last updated?

The NPPES record for Jaylen Holmes was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 30, 2026.

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About Jaylen Leandre Holmes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAYLEN LEANDRE HOLMES (NPI 1053128637) is an individual non-emergency medical transport (van) provider in Lawrenceville, Georgia, licensed in Georgia (060490575) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1053128637

Entity TypeIndividualMale

Primary Taxonomy343900000X

Provider Legal NameJAYLEN LEANDRE HOLMES

Location Address579 SIMONTON OAK LNLawrenceville, GA 30045-3525

Mailing Address579 Simonton Oak LnLawrenceville, GA 30045-3525 · (317) 476-1877

Phone(317) 476-1877

Sole ProprietorYes

Enumeration DateDecember 17, 2024

NPPES CertifiedDecember 17, 2024

✔ NPI 1053128637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

License✔ Licensed in GA · 060490575

Definition

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.

579 SIMONTON OAK LN, Lawrenceville, GA 30045

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERENE VILLAGE HOME CARE LLC

In Home Supportive Care

579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045

Gwinnett County (678) 557-6174

TERIA K CORBIN

In Home Supportive Care

579 SIMONTON OAK LN
LAWRENCEVILLE, GA 30045

Gwinnett County (678) 557-6174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaylen Holmes's NPI number?

The NPI number for Jaylen Holmes is 1053128637. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Jaylen Holmes located?

Jaylen Holmes practices at 579 Simonton Oak Ln, Lawrenceville, GA 30045. The listed phone number is (317) 476-1877.

What is Jaylen Holmes's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Jaylen Holmes was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.