JAYLEN LEANDRE HOLMES
NPI 1053128637
Non-emergency Medical Transport (VAN) in Lawrenceville, GA
- 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
- Code Navigator
Location Map
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
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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.