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JOM ENTERPRISE LLC NPI 1033676564


NPI Information

NPI: 1033676564
Provider Name: JOM ENTERPRISE, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1855 E SOUTHERN AVE
MESA, AZ
ZIP 85204
Phone: (480) 217-2502
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JOM ENTERPRISE, LLC is a non emergency medical transport van in Mesa, AZ. The provider is 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. JOM ENTERPRISE, LLC NPI is 1033676564. The provider is registered as an organization entity type.

The provider's business location address is:

1855 E SOUTHERN AVE
MESA, AZ
ZIP 85204-241
Phone: (480) 217-2502

The provider's authorized official is Rory Grimes .
The authorized official title is Ceo and has the following contact phone number (602) 791-9808.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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